Nicole M Costell
Nicole M Costell is a Counselor in Fort Moore, Georgia. Licensed in California and Florida. Registered with an NPI since 2017.
- Licensed in
- CA, FL
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
6600 Van Aalst Blvd Bldg 9250Fort Moore, GA 31905-2102
Phone: (850) 885-9972
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence SW18360 (FL) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence ASW77761 (CA) |
Record details
| NPI number | 1982133864 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 5, 2017 |
| Last updated in NPPES | February 21, 2024 |
| Certification date | February 21, 2024 |