| Jon Patrick Costales, LPC | |
|
310 Paper Trail Way Ste 106, Canton, GA 30115-5204 | |
| (678) 880-4645 | |
| Not Available |
| Full Name | Jon Patrick Costales |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 310 Paper Trail Way Ste 106, Canton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902361553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC009867 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Patrick Costales, LPC 7339 Reinhardt College Pkwy, Waleska, GA 30183-2901 Ph: (404) 446-7678 | Jon Patrick Costales, LPC 310 Paper Trail Way Ste 106, Canton, GA 30115-5204 Ph: (678) 880-4645 |
Joy Tulloch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way Ste 106, Canton, GA 30115 Phone: 678-880-4645 | |
Ms. M Katherine Coolidge, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1213 Cherry Ln, Canton, GA 30114 Phone: 678-494-6690 Fax: 678-494-9622 | |
Mr. Frank J. Busbey, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Lamar Haley Pkwy, Canton, GA 30114 Phone: 770-704-1600 | |
Mrs. Lauren Moss, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way Ste 108, Canton, GA 30115 Phone: 678-880-4645 | |
Mary Robin Grove, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 Paper Trail Way, 106, Canton, GA 30115 Phone: 678-880-4645 | |
Jennifer Gilreath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Sixes Rd, Canton, GA 30114 Phone: 678-880-8385 | |
Brooke A Comley, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3395 Sixes Rd Ste 2302, Canton, GA 30114 Phone: 404-910-3377 |