STEPHANIE COSTELLO

PORTLAND, OR
NPI1659699676
Former NameSTEPHANIE ANDERSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-05-14
Last Update Date2016-06-13
Business Address
Mrs. STEPHANIE COSTELLO MSW
430 NE 160TH AVE APT 29
PORTLAND, OR 97230-5496
Phone number: 509-768-7311
Mailing Address
Mrs. STEPHANIE COSTELLO MSW
430 NE 160TH AVE APT 29
PORTLAND, OR 97230-5496
Phone number: 509-768-7311