Lisbeth Jeanne Costa, LICSW Valid NPI

Individual provider · Mental Health Counselor · Rockport, MA

NPI

1497763924

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

111036 (MA)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-03

Last updated

2007-07-08