Individual
HOLLIE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1140 US HIGHWAY 287, BROOMFIELD, CO 80020-7080
(727) 798-1092
Mailing address
PO BOX 7274, BROOMFIELD, CO 80021-0022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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