Individual provider · Type 1 NPI

Michael Costello, M.S., LAC

Counselor · Grand Junction, CO

NPI number 1487165791 Active

Practice location

114 N 12th St
Grand Junction, CO 81501-3534

Mailing address

377 Rodell Dr
Grand Junction, CO 81507-1744

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XACD.0000462 (CO)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1487165791

Michael Costello, M.S., LAC's National Provider Identifier is 1487165791, issued on Oct 14, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Grand Junction, CO. The record was last updated on Oct 14, 2017.