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JACK COSTELLO MA
NPI 1720355126
Counselor - Mental Health in Dover, NH

Active since November 30, 2011
113 CROSBY RD, DOVER, NH 03820(603) 516-9300(603) 740-9179 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jack Costello Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK COSTELLO MA (NPI 1720355126) is an individual mental health provider in Dover, New Hampshire and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1720355126
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK COSTELLOCredential: MA
Location Address113 CROSBY RDDover, NH 03820-4370
Mailing Address113 Crosby RdDover, NH 03820-4370 · (603) 516-9300 · Fax (603) 740-9179
Phone(603) 516-9300
Fax(603) 740-9179
Sole ProprietorNo
Enumeration DateNovember 30, 2011
✔ NPI 1720355126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
113 CROSBY RD, Dover, NH 03820
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA ANN BAILLARGEON RNC, LMHC
Counselor (Mental Health)
113 CROSBY RD
DOVER, NH 03820
Strafford County (603) 749-4462
SUZANNE IVERSON M. ED.
Counselor (Mental Health)
113 CROSBY RD
DOVER, NH 03820
Strafford County (603) 749-4015
HALEN GORI MSW
Social Worker (Clinical)
113 CROSBY RD
DOVER, NH 03820
Strafford County (603) 749-4015
DOROTHY LAVOIE OT
Occupational Therapist
113 CROSBY RD
DOVER, NH 03820
Strafford County (603) 749-4015
MICHELLE L DUNBAR OT
Occupational Therapist (Pediatrics)
113 CROSBY RD
DOVER, NH 03820
Strafford County (603) 516-9300
EVAN DEAN
Occupational Therapist
113 CROSBY RD
DOVER, NH 03820
Strafford County (603) 516-9300
GAIL MINSCHWANER LICSW
Social Worker (Clinical)
113 CROSBY RD
DOVER, NH 03820
Strafford County (603) 516-9300
DEBRA DIANE SNOW
Case Manager/Care Coordinator
113 CROSBY RD
DOVER, NH 03820
Strafford County (603) 516-9300

Frequently Asked Questions

What is Jack Costello's NPI number?

The NPI number assigned to this healthcare provider is 1720355126, enumerated as an "individual" on November 30, 2011.

Where is the provider located?

The provider is located at 113 CROSBY RD DOVER, NH 03820 and the phone number is (603) 516-9300.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.