Costello, Vanessa

Costello, Vanessa is an sole proprietor health care provider with primary practice located at 907 W Caddo St , Cleveland OK 74020-4201. 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, Vanessa can be contacted via phone (918) 308-5511.

Contact Information

Primary practice address
907 W Caddo St Cleveland OK 74020-4201
Phone: (918) 308-5511
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1841628617
LBN Legal business name Costello, Vanessa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2013
Last updated Sep 12th, 2019 - about 5 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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