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DAVIDE JEANETTE COSTLEY MA LPC NPI 1356625149


NPI Information

NPI: 1356625149
Provider Name: DAVIDE JEANETTE COSTLEY, MA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1345 BIRCH AVE
COTTAGE GROVE, OR
ZIP 97424
Phone: (541) 942-3939
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Davide Jeanette Costley, MA, LPC is a professional counselor in Cottage Grove, OR. Davide Jeanette Costley, MA, LPC NPI is 1356625149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1345 BIRCH AVE
COTTAGE GROVE, OR
ZIP 97424
Phone: (541) 942-3939

The enumeration date for this NPI number is 9/28/2011 and was last updated on 5/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalC4859OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.