Jillian Janice Costa
NPI #1902124696 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1902124696
- Entity Type
- Individual
- Name
- Jillian Janice Costa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 5, 2010
- Last Updated
- Sep 9, 2011
Practice Location
- Address
- 157 GREEN ST
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-2667
- Phone
- (617) 983-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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