Search › Utah › 101YM0800X
Gerald Costley, LCSW
NPI 1164910089 · on the registry since 2018 · sole proprietor
Practice
- Address
- 339 E 3900 S Ste 155
Salt Lake City, UT 84107 - Phone
- (801) 347-0370
- Fax
- (801) 261-3701
- Organisation at this address
- Cold Front Pharmacy
De Novo Services Llc
Future Rising Agency
Metamorphosis Salt Lake City, Inc.
Rise Above Forensics Behavioral Assessment And Counseling LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101Y00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah