Costello, Ralph William

Costello, Ralph William is an individual health care provider with primary practice located at 161 Fashion Lane Suite 205, Tustin CA 92780. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Costello, Ralph William can be contacted via phone (714) 669-9120.

Contact Information

Primary practice address
161 Fashion Lane Suite 205 Tustin CA 92780
Phone: (714) 669-9120
Fax: (714) 669-9120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1780737379
LBN Legal business name Costello, Ralph William
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Popular Providers