Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANNE COSTELLO
Active Sole ProprietorKELLY ANNE COSTELLO is a Addiction (Substance Use Disorder) Counselor healthcare provider located in DULUTH, Georgia. NPI 1679307193 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · DULUTH, GA
Registration Details
- NPI Number
- 1679307193
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2024 (1.9308363547442 yrs)
- Last Updated
- Aug 27, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
3390 N BERKELEY LAKE RD NW STE 100DULUTH, GA, 300963006Browse GA providers · Browse ZIP 30096
- Phone
- 4703278336
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DULUTH, GA
| Name | Credential | NPI |
|---|---|---|
| RICHARD MATTHEW HAWK | — | 1356980957 |
| DEWAYNE BURTS | CDAC-I | 1437882784 |
| MS. TAMMY THOMPSON KELLER | M.A., CADC-II | 1851093306 |
| DONTE RANDALL | CADCII | 1588354732 |
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.