Individual
MR. JAMES WILLIAM COSTELLO
Active
Individual
MR. JAMES WILLIAM COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MSN, MSHS, MBA
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
170300000X
Genetic Counselor (M.S.)
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
01/02/2023
Last updated
08/31/2026
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