Individual provider · Type 1 NPI

Gerald Louis Costley, LCSW

Mental Health Counselor · Salt Lake City, UT

NPI number 1164910089 Active

Practice location

339 E 3900 S Ste 155
Salt Lake City, UT 84107-1978

Call (801) 347-0370 Map

Fax (801) 261-3701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X128158-3501 (UT)
Counselor 101Y00000X128158-3501 (UT)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1164910089

Gerald Louis Costley, LCSW's National Provider Identifier is 1164910089, issued on Apr 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 29, 2019.