Individual
MRS. DEBRA S COSTANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPC
Contact information
Practice address
77 MAIN STREET, SUITE 4, MILLTOWN, NJ 08850-1521
(732) 713-2296
Mailing address
77 N MAIN ST, SUITE 4, MILLTOWN, NJ 08850-1521
(732) 713-2296
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00465200
NJ
Other
Enumeration date
08/17/2009
Last updated
01/03/2013
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