Individual
JULIA COSTABILO
Active
Individual
JULIA COSTABILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
488670
IL
101YM0800X
Mental Health Counselor
488670
IL
101YP2500X
Professional Counselor
488670
IL
225C00000X
Rehabilitation Counselor
Primary
488670
IL
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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