Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JORDAN DANIEL COSTELLO
Active Sole ProprietorMR. JORDAN DANIEL COSTELLO is a Mental Health Counselor healthcare provider located in MARYVILLE, Tennessee. NPI 1942085238 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MARYVILLE, TN
Registration Details
- NPI Number
- 1942085238
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 28, 2023 (2.9407733710454 yrs)
- Last Updated
- May 15, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1704 E BROADWAY AVEMARYVILLE, TN, 378042916Browse TN providers · Browse ZIP 37804
- Phone
- 8656816990
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in MARYVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MRS. BRENDA-LEE WILDER DUARTE | LPC-MHSP | 1982637583 |
| LINDSEY M NEUBAUER | — | 1619009347 |
| CHERMERA Y SMITH | — | 1013049774 |
| NANCY A HOBBS | — | 1609908342 |
| LOIS K LINSNER | — | 1811029564 |
| CHARLES D O'NEIL | — | 1245362904 |
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.