Individual
MS. LORI LYNN COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1414 W RANDOL MILL RD, SUITE 200, ARLINGTON, TX 76012-3159
(214) 629-3743
Mailing address
1414 W RANDOL MILL RD, SUITE 200, ARLINGTON, TX 76012-3159
(214) 629-3743
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62819
TX
Other
Enumeration date
08/30/2009
Last updated
09/08/2009
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