Individual provider · NPI-1

Daniel Michael Acosta

Marriage & Family Therapist · Riverside, CA

NPI number1285188581
StatusActive
Last updated in NPPESApr 18, 2023

Details

NPI
1285188581
Entity type
Individual (NPI-1)
Name
Daniel Michael Acosta
Sex
Male
Sole proprietor
No
Enumeration date
Aug 4, 2016
Certification date
Apr 18, 2023
Last updated
Apr 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist133987CAYes
106H00000X Marriage & Family Therapist93817CA

Practice location

4996 La Sierra Ave
Riverside, CA 92505-2612

Phone 951-525-3752

Mailing address

24312 Insignia Dr
Menifee, CA 92584-0360

Phone 949-943-7820

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