Gerald Louis Costley, LCSW | |
339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 | |
(801) 347-0370 | |
(801) 261-3701 |
Full Name | Gerald Louis Costley |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 339 E 3900 S Ste 155, Salt Lake City, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164910089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 128158-3501 (Utah) | Primary |
101Y00000X | Counselor | 128158-3501 (Utah) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Gerald Louis Costley, LCSW 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 Ph: (801) 347-0370 | Gerald Louis Costley, LCSW 339 E 3900 S Ste 155, Salt Lake City, UT 84107-1978 Ph: (801) 347-0370 |
Douglas Ray Stafford, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Grant St, Salt Lake City, UT 84116 Phone: 801-359-8862 | |
Mr. Siope Lee Kinikini, CHMC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5800 Highland Dr, Salt Lake City, UT 84121 Phone: 801-272-9980 Fax: 801-272-9976 | |
Jesenia Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 607 E 200 S, Salt Lake City, UT 84102 Phone: 801-363-0203 Fax: 801-359-3455 | |
Steven Alec Jensen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Austin Giove, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Clarissa Weiss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Katalina Takuvaka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124 Phone: 888-949-4864 |