Individual provider · Type 1 NPI
Kelly Anne Costello
Addiction (Substance Use Disorder) Counselor · Duluth, GA
NPI number
1679307193
Active
Practice location
3390 N Berkeley Lake Rd NW Ste 100
Duluth, GA 30096-3006
Mailing address
511 Amber Stone
Waleska, GA 30183-4311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
Other addiction (substance use disorder) counselor providers in Duluth
- Richard Matthew HawkAddiction (Substance Use Disorder) Counselor Duluth, GA NPI 1356980957
- Dewayne Burts, CDAC-IAddiction (Substance Use Disorder) Counselor Duluth, GA NPI 1437882784
- Donte Randall, CADCIIAddiction (Substance Use Disorder) Counselor Duluth, GA NPI 1588354732
- Stephanie Lauren DyarAddiction (Substance Use Disorder) Counselor Duluth, GA NPI 1821939844
- Tammy Thompson Keller, M.A., CADC-IIAddiction (Substance Use Disorder) Counselor Duluth, GA NPI 1851093306
About NPI 1679307193
Kelly Anne Costello's National Provider Identifier is 1679307193, issued on Aug 27, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Duluth, GA. The record was last updated on Aug 27, 2024.