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Individual

DR. RACHEL E COSTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D, MS, LPCC-S

Contact information

Practice address
1150 W RUSSELL RD, SIDNEY, OH 45365-7025
(727) 205-2077
Mailing address
28059 US HIGHWAY 19 N STE 205, CLEARWATER, FL 33761-2620
(727) 205-2077

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.0500411
OH

Other

Enumeration date
04/08/2019
Last updated
02/23/2024
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