Individual provider · Type 1 NPI
Stephanie Costello, MSW
Mental Health Counselor · Portland, OR
NPI number
1659699676
Active
Practice location
430 NE 160th Ave Apt 29
Portland, OR 97230-5496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1659699676
Stephanie Costello, MSW's National Provider Identifier is 1659699676, issued on May 14, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 13, 2016.