person
Gerald Louis Costley, LCSW
Counselor in Salt Lake City, Utah
NPI 1164910089

Gerald Louis Costley is a Counselor based in Salt Lake City, UT. Gerald Louis Costley practices in Salt Lake City, UT and has the professional credentials of LCSW. The NPI Number for Gerald Louis Costley is 1164910089 and holds a License No. 128158-3501 (Utah).

The current practice location address for Gerald Louis Costley is 339 E 3900 S Ste 155, Salt Lake City, UT and can be reached out via phone at 801-347-0370 and via fax at 801-261-3701.

Location: 339 E 3900 S Ste 155, Salt Lake City, UT, 84107-1978
person
Provider Profile Details
NPI Number
1164910089
Provider Name
Gerald Louis Costley
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
339 E 3900 S Ste 155, Salt Lake City, UT, 84107-1978
Phone Number
801-347-0370
Fax Number
801-261-3701
Provider Enumeration Date
04/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
339 E 3900 S Ste 155
City
State
Zip
84107-1978
Phone Number
801-347-0370
Fax Number
801-261-3701
person
Provider Business Mailing Address Details
Address
339 E 3900 S Ste 155
City
State
Zip
84107-1978
Phone Number
801-347-0370
Fax Number
801-261-3701
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
128158-3501 (Utah)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
128158-3501 (Utah)
Definition
Definition to come...
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