Daniel Ray Costello, CADC1
Daniel Ray Costello, CADC1 is an Addiction (Substance Use Disorder) Counselor in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2010.
- Licensed in
- OR
- In the registry since
- 2010
Practice location Address checks out
3180 Center St NE Drug TreatmentSalem, OR 97301-4592
Phone: (503) 576-4660
Fax: (503) 361-2688
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 08-08-10 (OR) |
|---|
Record details
| NPI number | 1215257720 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CADC1 |
| Sole proprietor | No |
| NPI enumerated | June 7, 2010 |
| Last updated in NPPES | June 7, 2010 |
| Mailing address | 1641 D St Ne, Salem, OR 97301-2664 |
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