Ellen Teresa Costilla, LISW Valid NPI

Individual provider · Clinical Social Worker · Albuquerque, NM

NPI

1871538017

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

I-04603 (NM)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-20

Last updated

2009-07-07