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Theodore Disciscio
Mental Health Counselor in Waltham, Massachusetts
NPI 1447911482

Theodore Disciscio is a Mental Health Counselor based in Waltham, MA and is specialized in Mental Health. Theodore Disciscio practices in Waltham, MA. The NPI Number for Theodore Disciscio is 1447911482 and holds a License No. 11513 (Massachusetts).

The current practice location address for Theodore Disciscio is 59 Caughey St, Waltham, MA and can be reached out via phone at 781-910-5381.

Location: 59 Caughey St, Waltham, MA, 02451-3787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447911482
Provider Name
Theodore Disciscio
Credential
Provider Entity Type
Individual
Gender
Male
Address
59 Caughey St, Waltham, MA, 02451-3787
Phone Number
781-910-5381
Fax Number
Provider Enumeration Date
01/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
59 Caughey St
City
Waltham
State
Massachusetts
Zip
02451-3787
Phone Number
781-910-5381
Fax Number
person
Provider Business Mailing Address Details
Address
59 Caughey St
City
Waltham
State
Massachusetts
Zip
02451-3787
Phone Number
781-910-5381
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11513 (Massachusetts)
Definition
Definition to come...
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