Provider Demographics
NPI:1942522602
Name:DA COSTA, FEI-FEI (LMFT, ATR)
Entity Type:Individual
Prefix:MS
First Name:FEI-FEI
Middle Name:
Last Name:DA COSTA
Suffix:
Gender:F
Credentials:LMFT, ATR
Other - Prefix:MS
Other - First Name:FEI-FEI
Other - Middle Name:
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2340 WARD ST STE 102
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1146
Mailing Address - Country:US
Mailing Address - Phone:510-371-0835
Mailing Address - Fax:
Practice Address - Street 1:2340 WARD ST STE 102
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1146
Practice Address - Country:US
Practice Address - Phone:510-371-0835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92687106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist