Individual provider · NPI-1
Nestor Miguel Acosta
Counselor, Mental Health · Orange, CA
NPI number1952585093
StatusActive
Last updated in NPPESDec 26, 2007
Details
- NPI
- 1952585093
- Entity type
- Individual (NPI-1)
- Name
- Nestor Miguel Acosta
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 26, 2007
- Last updated
- Dec 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
500 S Main St Ste 1100Orange, CA 92868-4513
Phone 714-543-4333
Mailing address
519 W Gage AveFullerton, CA 92832-3227
Phone 714-624-5403
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