Individual
MARIO COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
198 BELLMORE CT, WADSWORTH, OH 44281-6206
(330) 801-5089
Mailing address
198 BELLMORE CT, WADSWORTH, OH 44281-6206
(330) 801-5089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1700198
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024
—
OH
Enumeration date
08/29/2013
Last updated
03/19/2025
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