Individual provider · Type 1 NPI

Kathryn Costello, LPC

Professional Counselor · Shreveport, LA

NPI number 1992225650 Active

Practice location

3821 Southern Ave
Shreveport, LA 71106-1033

Mailing address

3800 Fernridge Dr
Longview, TX 75605-2516

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X5571 (LA)
Professional Counselor Primary 101YP2500X5571 (LA)

Professional Counselor: Definition to come...

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About NPI 1992225650

Kathryn Costello, LPC's National Provider Identifier is 1992225650, issued on Jun 23, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Shreveport, LA. The record was last updated on Sep 24, 2025.