Individual
CARLY COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSS
Contact information
Practice address
120 S 24TH STREET, STE 100, OMAHA, NE 68102-1226
(402) 342-7007
Mailing address
124 S 24TH ST STE 230, OMAHA, NE 68102-1226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12901
NE
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
04/21/2026
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