Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERALD LOUIS COSTLEY, LCSW
Active Sole ProprietorGERALD LOUIS COSTLEY, LCSW is a Mental Health Counselor healthcare provider located in SALT LAKE CITY, Utah. NPI 1164910089 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1164910089
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2018 (8.2830432735095 yrs)
- Last Updated
- Dec 29, 2019
- Licenses
-
128158-3501 (UT)128158-3501 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
339 E 3900 S STE 155SALT LAKE CITY, UT, 841071978Browse UT providers · Browse ZIP 84107
- Phone
- 8013470370
- Fax
- 8012613701
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Counselor
Other Mental Health Counselor Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MS. PATRICIA DIANE GODWIN | LCSW | 1619969193 |
| MR. JAMAL AHMED BARAKAT | LPC | 1912983446 |
| KRISTINE LOUISE LUBLIN | LPC | 1942280557 |
| MR. ALAN CARROLL SEEGMILLER | LCSW | 1184604423 |
| MR. GREGORY ALLEN RUGG | M.ED | 1184694200 |
| MS. GAIL TAYLOR SZYKULA | M.S., LPC | 1043284953 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.