Individual
JENNIFER E COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 UNION ST, MILTON, DE 19968-1622
(301) 304-7108
Mailing address
34539 PACK LN, LEWES, DE 19958-3304
(302) 841-4503
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
06/17/2025
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