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
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | ACD.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.