person
Mr. John Jeffrey Costanzo, MA
Mental Health Counselor in Lexington, Massachusetts
NPI 1447311196

John Jeffrey Costanzo is a Mental Health Counselor based in Lexington, MA and is specialized in Mental Health. John Jeffrey Costanzo practices in Lexington, MA and has the professional credentials of MA. The NPI Number for John Jeffrey Costanzo is 1447311196 and holds a License No. (Massachusetts).

The current practice location address for John Jeffrey Costanzo is 1040 Waltham St, Lexington, MA and can be reached out via phone at 781-862-3600 and via fax at 781-863-5903.

Location: 1040 Waltham St, Lexington, MA, 02421-8033
person
Provider Profile Details
NPI Number
1447311196
Provider Name
John Jeffrey Costanzo
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1040 Waltham St, Lexington, MA, 02421-8033
Phone Number
781-862-3600
Fax Number
781-863-5903
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP01332 01 MA BMC
1303287 05 MA
99618201 01 NETWORK HEALTH
NHP1004745 01 MA NHP
1303287 01 MA MBHP
703136 01 MA TUFTS
M18633 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
1040 Waltham St
City
State
Zip
02421-8033
Phone Number
781-862-3600
Fax Number
781-863-5903
person
Provider Business Mailing Address Details
Address
1040 Waltham St
City
State
Zip
02421-8033
Phone Number
781-862-3600
Fax Number
781-863-5903
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Massachusetts)
Definition
Definition to come...
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