Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JACQUELINE JUDETH COSTELLO-ATHERTON-ELY, L.P.C.
Active Sole ProprietorMRS. JACQUELINE JUDETH COSTELLO-ATHERTON-ELY, L.P.C. is a Professional Counselor healthcare provider located in OLD FORGE, Pennsylvania. NPI 1568547313 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · OLD FORGE, PA
Registration Details
- NPI Number
- 1568547313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2006 (19.615624552954 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PC002586 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
516 MOOSIC RDOLD FORGE, PA, 185182027Browse PA providers · Browse ZIP 18518
- Phone
- 5705621166
- Fax
- 5704573779
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in OLD FORGE, PA
| Name | Credential | NPI |
|---|---|---|
| SLOAN A SVADEBA-CUMMINGS | M.S., LPC, NCC | 1790061083 |
| LISA KOSSUTH | MA | 1982008892 |
| NICOLE BRUSH | NCC,LPC | 1760049431 |
| JACKALYNN LEE WILSON | — | 1659923209 |
| LINDSEY COCHRANE | — | 1245999598 |
| GINA GATTO-HARRIS | — | 1760170583 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.