Individual
KATHERINE M COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 AIRPORT RD, FITCHBURG, MA 01420-8142
(978) 343-6300
Mailing address
4039 S ATHOL RD, ATHOL, MA 01331-9643
(978) 696-1984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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