Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon Patrick Costales, LPC

Individual provider Professional Counselor · NPI 1902361553

Jon Patrick Costales, LPC is a Professional Counselor in Canton, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

310 Paper Trail Way Ste 106
Canton, GA 30115-5204
Phone: (678) 880-4645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC009867 (GA)

Record details

NPI number1902361553
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 7, 2019
Last updated in NPPESFebruary 7, 2019

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