| Jennifer A Costello Lcsw Llc | |
|
329 Malapardis Rd Morris Plains NJ 07950-3261 | |
| (201) 213-2385 | |
| (973) 843-1600 |
| Full Name | Jennifer A Costello Lcsw Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 329 Malapardis Rd, Morris Plains, New Jersey |
| Authorized Official Name and Position | Jennifer A Costello (OWNER) |
| Authorized Official Contact | 2012132385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Costello Lcsw Llc 329 Malapardis Rd Morris Plains NJ 07950-3261 Ph: (201) 213-2385 | Jennifer A Costello Lcsw Llc 329 Malapardis Rd Morris Plains NJ 07950-3261 Ph: (201) 213-2385 |
| NPI Number | 1447990528 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447990528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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