Individual
JESSICA COSTALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2805 E ZION RD, FAYETTEVILLE, AR 72703-5195
(479) 443-6436
(479) 443-2519
Mailing address
3352 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 521-1427
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/13/2008
Last updated
07/06/2011
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