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MARK ANTHONY COSTA CERTIFIED COUNSELOR
NPI 1710668652
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since July 25, 2023
1105 N EL DORADO ST, STOCKTON, CA 95202(209) 938-0228(209) 938-0281 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Anthony Costa Certified Counselor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ANTHONY COSTA CERTIFIED COUNSELOR (NPI 1710668652) is an individual addiction (substance use disorder) provider in Stockton, California, licensed in California (9533) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1710668652
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK ANTHONY COSTACredential: CERTIFIED COUNSELOR
Location Address1105 N EL DORADO STStockton, CA 95202-1305
Mailing Address1105 N El Dorado StStockton, CA 95202-1305 · (209) 938-0228 · Fax (209) 938-0281
Phone(209) 938-0228
Fax(209) 938-0281
Sole ProprietorNo
Enumeration DateJuly 25, 2023
NPPES CertifiedJuly 25, 2023
✔ NPI 1710668652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 9533
1105 N EL DORADO ST, Stockton, CA 95202
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROANNE THERESE ALMONINA ONG
Licensed Vocational Nurse
1105 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
JACKSON KHAM
Technician, Other
1105 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
ANNE MICHELLE SIDLAUSKAS
Counselor (Addiction (Substance Use Disorder))
1105 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
LENEE LEWIS
Counselor
1105 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
LACI ESCLOVON
Technician, Other
1105 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
KRISTINA CARPENETTI RADT I
Counselor (Addiction (Substance Use Disorder))
1105 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228
JAY FRANK WILLIAMS COUNSELOR
Counselor (Addiction (Substance Use Disorder))
1105 N EL DORADO ST
STOCKTON, CA 95202
San Joaquin County (209) 938-0228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Costa's NPI number?

The NPI number for Mark Costa is 1710668652. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Mark Costa located?

Mark Costa practices at 1105 N El Dorado St, Stockton, CA 95202. The listed phone number is (209) 938-0228.

What is Mark Costa's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Costa was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.