Individual provider · Type 1 NPI

John R. Costello, CASAC-T

Addiction (Substance Use Disorder) Counselor · Poughkeepsie, NY

NPI number 1891331732 Active

Practice location

41 Page Park Dr
Poughkeepsie, NY 12603-7500

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1891331732

John R. Costello, CASAC-T's National Provider Identifier is 1891331732, issued on Nov 26, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Poughkeepsie, NY. The record was last updated on Nov 26, 2019.