Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON PATRICK COSTALES, LPC
Active Sole ProprietorJON PATRICK COSTALES, LPC is a Professional Counselor healthcare provider located in CANTON, Georgia. NPI 1902361553 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CANTON, GA
Registration Details
- NPI Number
- 1902361553
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2019 (7.5006473624491 yrs)
- Last Updated
- Feb 7, 2019
- License
-
LPC009867 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
310 PAPER TRAIL WAY STE 106CANTON, GA, 301155204Browse GA providers · Browse ZIP 30115
- Phone
- 6788804645
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| JENNIFER FIELD MARK | LPC | 1548336639 |
| MR. FRANK J. BUSBEY | L.P.C. | 1013071356 |
| MS. M KATHERINE COOLIDGE | LCSW | 1013055094 |
| PATRICIA LILLIAN HEFLIN | LICENSED COUNSELOR | 1982743167 |
| MRS. ANITA A EPPS | LPC | 1902932858 |
| MRS. CHRISTINA TEMPLES CUSHING | L.P.C. | 1225218274 |
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.