Individual
KRISTIN COSTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
10 WEST ST, CONCORD, NH 03301-3548
(603) 225-0123
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2262
NH
Other
Enumeration date
01/05/2016
Last updated
07/02/2020
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