Costales, Jon Patrick

Costales, Jon Patrick is an sole proprietor health care provider with primary practice located at 310 Paper Trail Way Ste 106 , Canton GA 30115-5204. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Costales, Jon Patrick can be contacted via phone (678) 880-4645.

Contact Information

Primary practice address
310 Paper Trail Way Ste 106 Canton GA 30115-5204
Phone: (678) 880-4645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC009867 Georgia

Profile Details

NPI number 1902361553
LBN Legal business name Costales, Jon Patrick
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2019
Last updated Feb 7th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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