Individual provider · Type 1 NPI

Dorothy Costakis, LICDC, LISW-S

Mental Health Counselor · Cleveland, OH

NPI number 1609381060 Active

Practice location

3720 Rocky River Dr
Cleveland, OH 44111-4050

Call (216) 954-0444 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.161501 (OH)
Mental Health Counselor Primary 101YM0800XI.2405225-SUPV (OH)

Mental Health Counselor: Definition to come...

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About NPI 1609381060

Dorothy Costakis, LICDC, LISW-S's National Provider Identifier is 1609381060, issued on Dec 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cleveland, OH. The record was last updated on May 5, 2025.