Individual provider · Type 1 NPI
Jacqueline Judeth Costello-Atherton-Ely, L.P.C.
Professional Counselor · Old Forge, PA
NPI number
1568547313
Active
Practice location
516 Moosic Rd
Old Forge, PA 18518-2027
Fax (570) 457-3779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC002586 (PA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Old Forge
- Lindsey CochraneProfessional Counselor Old Forge, PA NPI 1245999598
- Dominick Anthony Rendina, LAPCProfessional Counselor Old Forge, PA NPI 1508732637
- Jackalynn Lee WilsonProfessional Counselor Old Forge, PA NPI 1659923209
- Nicole Brush, NCC, LPCProfessional Counselor Old Forge, PA NPI 1760049431
- Gina Gatto-HarrisProfessional Counselor Old Forge, PA NPI 1760170583
- Sloan A. Svadeba-Cummings, M.S., LPC, NCCProfessional Counselor Old Forge, PA NPI 1790061083
- Amy Marie Florence, L.P.C.Professional Counselor Old Forge, PA NPI 1932440062
- Lisa Kossuth, MAProfessional Counselor Old Forge, PA NPI 1982008892
About NPI 1568547313
Jacqueline Judeth Costello-Atherton-Ely, L.P.C.'s National Provider Identifier is 1568547313, issued on Oct 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Old Forge, PA. The record was last updated on Jul 8, 2007.