Individual
CHRISTOPHER COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
640 SEMINOLE RD, NORTON SHORES, MI 49441-4720
(231) 724-1111
Mailing address
376 E APPLE AVE, MUSKEGON, MI 49442-3466
(231) 724-1111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023591
MI
Other
Enumeration date
02/02/2022
Last updated
06/10/2024
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