Individual provider · Type 1 NPI

Walter Cosillo, LAC

Mental Health Counselor · Passaic, NJ

NPI number 1336973924 Active

Practice location

124 Gregory Ave
Passaic, NJ 07055-4856

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	37AC00791100 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1336973924

Walter Cosillo, LAC's National Provider Identifier is 1336973924, issued on Aug 27, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Passaic, NJ. The record was last updated on Aug 27, 2024.