person
Daniel Ray Costello, CADC1
Addiction (Substance Use Disorder) Counselor in Salem, Oregon
NPI 1215257720

Daniel Ray Costello is an Addiction (Substance Use Disorder) Counselor based in Salem, OR and is specialized in Addiction (Substance Use Disorder). Daniel Ray Costello practices in Salem, OR and has the professional credentials of CADC1. The NPI Number for Daniel Ray Costello is 1215257720 and holds a License No. 08-08-10 (Oregon).

The current practice location address for Daniel Ray Costello is 3180 Center St Ne, Salem, OR and can be reached out via phone at 503-576-4660 and via fax at 503-361-2688.

Location: 3180 Center St Ne, Salem, OR, 97301-2664
person
Provider Profile Details
NPI Number
1215257720
Provider Name
Daniel Ray Costello
Credential
CADC1
Provider Entity Type
Individual
Gender
Male
Address
3180 Center St Ne, Salem, OR, 97301-2664
Phone Number
503-576-4660
Fax Number
503-361-2688
Provider Enumeration Date
06/07/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3180 Center St Ne
City
State
Zip
97301-4592
Phone Number
503-576-4660
Fax Number
503-361-2688
person
Provider Business Mailing Address Details
Address
3180 Center St Ne
City
State
Zip
97301-4592
Phone Number
503-576-4660
Fax Number
503-361-2688
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
08-08-10 (Oregon)
Definition
Definition to come...
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