DOROTHY COSTAKIS, LICDC, LISW-S
Counselor - Mental Health
Active
Individual
NPI: 1609381060
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | LICDC.161501 (OH) |
| Counselor - Mental Health | 101YM0800X | Yes | I.2405225-SUPV (OH) |
Frequently Asked Questions
NPI 1609381060 is the National Provider Identifier for DOROTHY COSTAKIS, LICDC, LISW-S, a Counselor - Mental Health provider located in Cleveland, OH. This NPI was enumerated on December 7, 2017.
DOROTHY COSTAKIS, LICDC, LISW-S practices at 3720 ROCKY RIVER DR, Cleveland, OH 44111.
Quick Facts
- NPI
- 1609381060
- Type
- Individual
- Enumerated
- Dec 7, 2017
- Last Updated
- May 5, 2025
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