COURTNEY COSTELLO

STOCKTON, CA
NPI1639843659
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  AMFT144592)
Additional Taxonomies106S00000X Behavior Technician
171M00000X Case Manager/Care Coordinator
172V00000X Community Health Worker
Enumeration Date2021-08-03
Last Update Date2025-01-07
Business Address
COURTNEY COSTELLO
4545 GEORGETOWN SUITE A3
STOCKTON, CA 95207
Phone number: 209-955-1139
Mailing Address
COURTNEY COSTELLO
10400 FRICOT CITY RD
SAN ANDREAS, CA 95249-9642
Phone number: 209-736-4500