Individual provider · Type 1 NPI

Jean M. Costa McCutcheon

Mental Health Counselor · Plymouth, MA

NPI number 1104134709 Active

Practice location

39A Industrial Park Rd
Plymouth, MA 02360-4868

Fax (508) 830-3655

Mailing address

20 Western Way
Duxbury, MA 02332-4506

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104134709

Jean M. Costa McCutcheon's National Provider Identifier is 1104134709, issued on Sep 16, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plymouth, MA. The record was last updated on Oct 13, 2011.