person
Jack Costello, MA
Mental Health Counselor in Dover, New Hampshire
NPI 1720355126

Jack Costello is a Mental Health Counselor based in Dover, NH and is specialized in Mental Health. Jack Costello practices in Dover, NH and has the professional credentials of MA. The NPI Number for Jack Costello is 1720355126 and holds a License No. (New Hampshire).

The current practice location address for Jack Costello is 113 Crosby Rd, Dover, NH and can be reached out via phone at 603-516-9300 and via fax at 603-740-9179.

Location: 113 Crosby Rd, Dover, NH, 03820-4370
person
Provider Profile Details
NPI Number
1720355126
Provider Name
Jack Costello
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
113 Crosby Rd, Dover, NH, 03820-4370
Phone Number
603-516-9300
Fax Number
603-740-9179
Provider Enumeration Date
11/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
113 Crosby Rd
City
State
Zip
03820-4370
Phone Number
603-516-9300
Fax Number
603-740-9179
person
Provider Business Mailing Address Details
Address
113 Crosby Rd
City
State
Zip
03820-4370
Phone Number
603-516-9300
Fax Number
603-740-9179
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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