Nicole M Costell
NPI #1982133864 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1982133864
- Entity Type
- Individual
- Name
- Nicole M Costell
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- Jun 5, 2017
- Last Updated
- Feb 21, 2024
Practice Location
- Address
- 6600 VAN AALST BLVD BLDG 9250
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (850) 885-9972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Counselor - Mental Health — Mental Health |
| Social Worker |
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