person
Mrs. Patricia L Costilla, LPCA
Mental Health Counselor in North Charleston, South Carolina
NPI 1184194250

Patricia L Costilla is a Mental Health Counselor based in Summerville, SC and is specialized in Mental Health. Patricia L Costilla practices in North Charleston, SC and has the professional credentials of LPCA. The NPI Number for Patricia L Costilla is 1184194250 and holds a License No. 6630 (South Carolina).

The current practice location address for Patricia L Costilla is 9217 University Blvd Ste C1A, North Charleston, SC and can be reached out via phone at 843-619-7989 and via fax at 888-855-8030.

Location: 9217 University Blvd Ste C1A, North Charleston, SC, 29483-3106
person
Provider Profile Details
NPI Number
1184194250
Provider Name
Patricia L Costilla
Credential
LPCA
Provider Entity Type
Individual
Gender
Female
Address
9217 University Blvd Ste C1A, North Charleston, SC, 29483-3106
Phone Number
843-619-7989
Fax Number
888-855-8030
Provider Enumeration Date
11/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9217 University Blvd Ste C1A
City
State
Zip
29406-9147
Phone Number
843-619-7989
Fax Number
888-855-8030
person
Provider Business Mailing Address Details
Address
9217 University Blvd Ste C1A
City
State
Zip
29406-9147
Phone Number
843-619-7989
Fax Number
888-855-8030
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6630 (South Carolina)
Definition
Definition to come...
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