Individual provider · Type 1 NPI
Daniel Charles Costello, L.C.S.W., C.A.S.A.C
Addiction (Substance Use Disorder) Counselor · Commack, NY
NPI number
1689770091
Active
Practice location
37 Parkway Dr N
Commack, NY 11725-5108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0716949 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1689770091
Daniel Charles Costello, L.C.S.W., C.A.S.A.C's National Provider Identifier is 1689770091, issued on Sep 15, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Commack, NY. The record was last updated on Jul 8, 2007.