Individual provider · Type 1 NPI

John Costa, LSW LADC I CADAC II

Counselor · Fall River, MA

NPI number 1497959993 Active

Practice location

795 Middle St
Fall River, MA 02721-1733

Fax (508) 235-5053

Mailing address

PO Box 79354
North Dartmouth, MA 02747-0984

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X300569 (MA)
Counselor 101Y00000X2107 (MA)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1497959993

John Costa, LSW LADC I CADAC II's National Provider Identifier is 1497959993, issued on Jun 11, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Fall River, MA. The record was last updated on Jul 8, 2007.