IVY ANNA COSTELLO

Counselor

NPI: 1750547519Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

T-0114651(NM)

Contact & Hours

Address: 1441 S SAINT FRANCIS DR
SANTA FE, NM 87505
Phone: (505) 982-2177

Quick Facts

NPI: 1750547519
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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