Individual
SHANNON KIANA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 BLOOMFIELD AVE STE 209, MONTCLAIR, NJ 07042-3552
(732) 674-9857
Mailing address
7 ALEXANDRIA RD, MORRISTOWN, NJ 07960-3638
(973) 349-2994
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00952600
NJ
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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