MARC KONICOV

WAKEFIELD, MA
NPI1013231604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: MA  4279)
Enumeration Date2010-03-25
Last Update Date2010-03-25
Business Address
Mr. MARC KONICOV LMHC
16 GREEN ST
WAKEFIELD, MA 01880-3730
Phone number: 781-245-1721
Mailing Address
Mr. MARC KONICOV LMHC
16 GREEN ST
WAKEFIELD, MA 01880-3730
Phone number: 781-245-1721