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Mr. Cary Costner
Mental Health Counselor in Anaheim, California
NPI 1720111941

Cary Costner is a Mental Health Counselor based in Santa Ana, CA and is specialized in Mental Health. Cary Costner practices in Anaheim, CA. The NPI Number for Cary Costner is 1720111941 and holds a License No. (California).

The current practice location address for Cary Costner is 1900 E La Palma Ave, Anaheim, CA and can be reached out via phone at 714-399-3480.

Location: 1900 E La Palma Ave, Anaheim, CA, 92701-6416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720111941
Provider Name
Cary Costner
Credential
Provider Entity Type
Individual
Gender
Male
Address
1900 E La Palma Ave, Anaheim, CA, 92701-6416
Phone Number
714-399-3480
Fax Number
Provider Enumeration Date
03/14/2007
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1900 E La Palma Ave
City
Anaheim
State
California
Zip
92805-1647
Phone Number
714-399-3480
Fax Number
person
Provider Business Mailing Address Details
Address
1900 E La Palma Ave
City
Anaheim
State
California
Zip
92805-1647
Phone Number
714-399-3480
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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