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Individual

MICHELLE COSTIGAN

Active
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Individual

MICHELLE COSTIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPC, LCADC, ATR

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00423-LC
NV
101YM0800X
Mental Health Counselor
180.010324
IL
101YM0800X
Mental Health Counselor
Primary
CP0165
NV

Other

Enumeration date
05/07/2014
Last updated
07/17/2017
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