Individual
ALEXANDER COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 889-4860
Mailing address
17 INNERBELT RD, SOMERVILLE, MA 02143-4418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/14/2021
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