Individual provider · Type 1 NPI

Theodore Disciscio

Mental Health Counselor · Waltham, MA

NPI number 1447911482 Active

Practice location

59 Caughey St
Waltham, MA 02451-3787

Call (781) 910-5381 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11513 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1447911482

Theodore Disciscio's National Provider Identifier is 1447911482, issued on Jan 3, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waltham, MA. The record was last updated on Jan 3, 2022.