person
Jon Patrick Costales, LPC
Professional Counselor in Canton, Georgia
NPI 1902361553

Jon Patrick Costales is a Professional Counselor based in Waleska, GA and is specialized in Professional. Jon Patrick Costales practices in Canton, GA and has the professional credentials of LPC. The NPI Number for Jon Patrick Costales is 1902361553 and holds a License No. LPC009867 (Georgia).

The current practice location address for Jon Patrick Costales is 310 Paper Trail Way Ste 106, Canton, GA and can be reached out via phone at 678-880-4645.

Location: 310 Paper Trail Way Ste 106, Canton, GA, 30183-2901
person
Provider Profile Details
NPI Number
1902361553
Provider Name
Jon Patrick Costales
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
310 Paper Trail Way Ste 106, Canton, GA, 30183-2901
Phone Number
678-880-4645
Fax Number
Provider Enumeration Date
02/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
310 Paper Trail Way Ste 106
City
State
Zip
30115-5204
Phone Number
678-880-4645
Fax Number
person
Provider Business Mailing Address Details
Address
310 Paper Trail Way Ste 106
City
State
Zip
30115-5204
Phone Number
678-880-4645
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC009867 (Georgia)
Definition
Definition to come...
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