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Individual

CLAIRE COSTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCMHC-A

Contact information

Practice address
105 S BLOODWORTH ST, RALEIGH, NC 27601-1503
(919) 977-0087
Mailing address
105 S BLOODWORTH ST, RALEIGH, NC 27601-1503
(919) 977-0087

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
A21372
NC

Other

Enumeration date
12/07/2017
Last updated
05/19/2025
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