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GERALD COSTLEY, LCSW
LCSW
Mental Health Counselor
NPI: 1164910089Individual
Specialties, Licenses & Credentials
Mental Health CounselorPrimary
Counselor — Mental Health
Code: 101YM0800X
128158-3501(UT)
Counselor
Counselor
Code: 101Y00000X
128158-3501(UT)
Contact & Hours
- Address
- 339 E 3900 S STE 155
SALT LAKE CITY, UT 84107 - Phone
- (801) 347-0370
Quick Facts
- NPI
- 1164910089
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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