Charles T Costa, LCSW
NPI #1265583355 in Denville, New Jersey
Provider Information
- NPI Number
- 1265583355
- Entity Type
- Individual
- Name
- Charles T Costa, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Jan 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 50 MORRIS AVE
- Address 2
- ST CLARE'S BEHAVIORAL HEALTH
- City
- Denville
- State
- New Jersey
- ZIP Code
- 07834-1735
- Phone
- (973) 625-7009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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