Individual
MICHELLE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
240 N JAMES ST, #104, WILMINGTON, DE 19804-3169
(302) 633-0301
Mailing address
240 N JAMES ST, #104, WILMINGTON, DE 19804-3169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC-0000733
DE
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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