Individual
CHRISTOPHER J MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-0000
Mailing address
762 N 10TH ST, LARAMIE, WY 82072-2737
(617) 733-8618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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