BRIAN MICHAEL COSTELLO

HAMBURG, NY
NPI1962829416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-03-22
Last Update Date2014-03-22
Business Address
Mr. BRIAN MICHAEL COSTELLO BA
5182 EAST PKWY
HAMBURG, NY 14075-5748
Phone number: 716-997-8450
Mailing Address
Mr. BRIAN MICHAEL COSTELLO BA
5182 EAST PKWY
HAMBURG, NY 14075-5748
Phone number: 716-997-8450
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