Theodore Disciscio
Theodore Disciscio is a Mental Health Counselor in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2022
Practice location Address checks out
59 Caughey StWaltham, MA 02451-3787
Phone: (781) 910-5381
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 11513 (MA) |
|---|
Record details
| NPI number | 1447911482 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 3, 2022 |
| Last updated in NPPES | January 3, 2022 |
| Certification date | January 3, 2022 |
| Mailing address | 59 Caughey St, Waltham, MA 02451-3787 |
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