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Organization

THE COUNSELING NOOK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLY COSTELLO MSW, LICSW (THERAPIST)
(304) 887-2994
Entity
Organization

Contact information

Practice address
207 D ST, SOUTH CHARLESTON, WV 25303-3103
(304) 887-2994
Mailing address
207 D ST, SOUTH CHARLESTON, WV 25303-3103
(304) 887-2994

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
04/27/2022
Last updated
12/07/2023
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