PATRICIA L COSTILLA

NORTH CHARLESTON, SC
NPI1184194250
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  6630)
Enumeration Date2018-11-30
Last Update Date2018-11-30
Business Address
Mrs. PATRICIA L COSTILLA LPCA
9217 UNIVERSITY BLVD STE C1A
NORTH CHARLESTON, SC 29406-9147
Phone number: 843-619-7989
Mailing Address
Mrs. PATRICIA L COSTILLA LPCA
106 COLONIAL CT
SUMMERVILLE, SC 29483-3106
Phone number: 803-743-6128
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