Individual provider · Type 1 NPI

Davide Jeanette Costley, MA, LPC

Professional Counselor · Cottage Grove, OR

NPI number 1356625149 Active

Practice location

1345 Birch Ave
Cottage Grove, OR 97424

Call (541) 942-3939 Map

Mailing address

6374 F St
Springfield, OR 97478-7084

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC4859 (OR)

Professional Counselor: Definition to come...

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About NPI 1356625149

Davide Jeanette Costley, MA, LPC's National Provider Identifier is 1356625149, issued on Sep 28, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cottage Grove, OR. The record was last updated on May 15, 2018.