Individual provider · Type 1 NPI

Rebecca Rose Costello, CADC 1

Mental Health Counselor · Bend, OR

NPI number 1053986190 Active

Practice location

2577 NE Courtney Dr
Bend, OR 97701-7752

Fax (541) 322-7265

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1053986190

Rebecca Rose Costello, CADC 1's National Provider Identifier is 1053986190, issued on May 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bend, OR. The record was last updated on Jul 1, 2025.