Costello, Stephanie J

Costello, Stephanie J is an individual health care provider with primary practice located at 1450 E 10Th St , Rolla MO 65401-3648. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Costello, Stephanie J can be contacted via phone (888) 403-1071.

Contact Information

Primary practice address
1450 E 10Th St Rolla MO 65401-3648
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2011039354 Missouri

Profile Details

NPI number 1861766503
LBN Legal business name Costello, Stephanie J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2012
Last updated Sep 26th, 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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