Individual provider · Type 1 NPI

Stephanie J. Costello, LPC

Professional Counselor · Rolla, MO

NPI number 1861766503 Active

Practice location

1450 E 10th St
Rolla, MO 65401-3648

Mailing address

1800 Community
Clinton, MO 64735-8804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X2011039354 (MO)
Professional Counselor Primary 101YP2500X2011039354 (MO)

Professional Counselor: Definition to come...

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About NPI 1861766503

Stephanie J. Costello, LPC's National Provider Identifier is 1861766503, issued on Feb 27, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rolla, MO. The record was last updated on Mar 21, 2025.