Individual
ALEXANDER J COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
543 NORTH ST, NEW BEDFORD, MA 02740-2782
(508) 984-5566
Mailing address
810 SMITH NECK RD, DARTMOUTH, MA 02748-1505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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