Davide Jeanette Costley, MA, LPC
NPI #1356625149 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1356625149
- Entity Type
- Individual
- Name
- Davide Jeanette Costley, MA, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA, LPC
- Enumeration Date
- Sep 28, 2011
- Last Updated
- May 15, 2018
Practice Location
- Address
- 1345 BIRCH AVE
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424
- Phone
- (541) 942-3939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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