Individual provider · Type 1 NPI

Shannon Kiana Costello

Professional Counselor · Montclair, NJ

NPI number 1407797541 Active

Practice location

460 Bloomfield Ave Ste 209
Montclair, NJ 07042-3552

Mailing address

7 Alexandria Rd
Morristown, NJ 07960-3638

Other practice locations

  • 491 Bloomfield Ave Ste 103, Montclair, NJ 07042-3406 · (732) 674-9857

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37AC00952600 (NJ)

Professional Counselor: Definition to come...

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About NPI 1407797541

Shannon Kiana Costello's National Provider Identifier is 1407797541, issued on Apr 2, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Montclair, NJ. The record was last updated on Apr 2, 2026.