| Doctor Name: | MRS. CHRISTINE COSTELLO |
| NPI Number: | 1194909747 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LCADC |
| License Number: | SC03906 |
| Business Practice Address: | 703 Bridge Ave Suite A Point Pleasant Boro, NJ - 087424544 |
| Business Phone Number: | 7328920082 |
| Business Fax Number: | 7328921616 |
| Mailing Address: | 703 Bridge Ave, Suite A POINT PLEASANT BORO |
| State: | NJ |
| Postal Code: | 087424544 |
| Phone Number: | 7328920082 |
| Fax Number: | 7328921616 |
| NPI Enumeration Date: | 12/18/2007 |
| NPI Last Update Date: | 12/18/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SC03906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |