Individual
DANIELLE COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1818 RITTENHOUSE SQ, PHILADELPHIA, PA 19103-5837
(267) 606-0485
Mailing address
2165 E LETTERLY ST, PHILADELPHIA, PA 19125-2136
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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