Individual
KATHLEEN TRINETTE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 E VISTA BONITA DR STE 188, SCOTTSDALE, AZ 85255-3205
(480) 506-9747
Mailing address
13527 E SUMMIT DR, SCOTTSDALE, AZ 85259-2222
(719) 439-0250
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19879
AZ
101YP2500X
Professional Counselor
LPC19879
AZ
Other
Enumeration date
05/19/2022
Last updated
10/23/2023
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