Individual
CARELIS COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1639 FORUM PL STE 7, WEST PALM BEACH, FL 33401-2330
(561) 712-8821
Mailing address
6284 COUNTRY FAIR CIR, BOYNTON BEACH, FL 33437-2822
(561) 207-0148
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
FL
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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