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NPI Code Detail

MEDICARE: DONNA ACOSTA LMFT, RDN, ACE-CHC

MEDICARE:   DONNA  ACOSTA  LMFT, RDN, ACE-CHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1346733094
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA ACOSTA LMFT, RDN, ACE-CHC
Provider Business Mailing Address
First Line : 3360 EPSON ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-7247
Country : US
Telephone Number : 702-238-4748
Fax Number :
Provider Business Practice Location Address
First Line : 6769 W CHARLESTON BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-9005
Country : US
Telephone Number : 702-238-4748
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2018
Last Update Date : 11/12/2021

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Directions to “ DONNA ACOSTA LMFT, RDN, ACE-CHC” Practice Location

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