Kelly Costello, LCSW-C

NPI #1497159412 in Jarrettsville, Maryland

Provider Information

NPI Number: 1497159412
Entity Type: Individual
Name: Kelly Costello, LCSW-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCSW-C
Enumeration Date: Oct 20, 2014
Last Updated: Oct 20, 2014

Practice Location

Address: 1714 JARRETTSVILLE RD
City: Jarrettsville
State: Maryland
ZIP Code: 21084-1524
Phone: (443) 695-3692

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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