Costello, Courtney

Costello, Courtney is an individual health care provider with primary practice located at 10400 Fricot City Rd , San Andreas CA 95249-9642. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Costello, Courtney can be contacted via phone (209) 736-4500.

Contact Information

Primary practice address
10400 Fricot City Rd San Andreas CA 95249-9642
Phone: (209) 736-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X AMFT144592 California

Profile Details

NPI number 1639843659
LBN Legal business name Costello, Courtney
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2021
Last updated Feb 9th, 2024 - about last year

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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