Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jon Patrick Costales, LPC

Individual provider Professional Counselor · NPI 1902361553

Jon Patrick Costales, LPC is a Professional Counselor in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

310 Paper Trail Way Ste 106
Canton, GA 30115-5204
Phone: (678) 880-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC009867 (GA)

Record details

NPI number1902361553
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 7, 2019
Last updated in NPPESFebruary 7, 2019
Mailing address7339 Reinhardt College Pkwy, Waleska, GA 30183-2901

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