Individual provider · Type 1 NPI

John Jeffrey Costanzo, MA

Mental Health Counselor · Lexington, MA

NPI number 1447311196 Active

Practice location

1040 Waltham St
Lexington, MA 02421-8033

Call (781) 862-3600 Map

Fax (781) 863-5903

Mailing address

1040 Waltham Street
Lexington, MA 02421-8033

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1447311196

John Jeffrey Costanzo, MA's National Provider Identifier is 1447311196, issued on Dec 13, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington, MA. The record was last updated on Jul 8, 2007.