JOHN R COSTELLO

POUGHKEEPSIE, NY
NPI1891331732
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-11-26
Last Update Date2019-11-26
Business Address
JOHN R COSTELLO CASAC-T
41 PAGE PARK DR
POUGHKEEPSIE, NY 12603-7500
Phone number: 845-486-2950
Mailing Address
JOHN R COSTELLO CASAC-T
41 PAGE PARK DR
POUGHKEEPSIE, NY 12603-7500
Phone number: 845-486-2950
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