MS. Mary Anne Lisa Costerella, M.A., LADC
NPI #1326212143 in Glastonbury, Connecticut
Provider Information
- NPI Number
- 1326212143
- Entity Type
- Individual
- Name
- MS. Mary Anne Lisa Costerella, M.A., LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- M.A., LADC
- Enumeration Date
- Apr 14, 2008
- Last Updated
- Apr 8, 2024
Practice Location
- Address
- 110 NATIONAL DR
- City
- Glastonbury
- State
- Connecticut
- ZIP Code
- 06033-4371
- Phone
- (860) 657-8910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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