Individual provider · Type 1 NPI
Pheap Cortissoz
Mental Health Counselor · Revere, MA
NPI number
1063697100
Active
Practice location
1736 N Shore Rd
Revere, MA 02151-3548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1063697100
Pheap Cortissoz's National Provider Identifier is 1063697100, issued on Jan 8, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Revere, MA. The record was last updated on Jan 8, 2008.