Individual
MRS. CHERYL ANN COSTABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
8000 W 127TH ST, OVERLAND PARK, KS 66213
(913) 951-4456
Mailing address
900 E EDISTO DR, BELTON, MO 64012-7880
(816) 322-4155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2012003444
MO
101YM0800X
Mental Health Counselor
2340
KS
Other
Enumeration date
03/07/2012
Last updated
06/10/2013
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