| Mrs Jacqueline Judeth Costello-atherton-ely, LPC | |
|
516 Moosic Rd, Old Forge, PA 18518-2027 | |
| (570) 562-1166 | |
| (570) 457-3779 |
| Full Name | Mrs Jacqueline Judeth Costello-atherton-ely |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 516 Moosic Rd, Old Forge, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568547313 | NPI | - | NPPES |
| 0015080380002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC002586 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Judeth Costello-atherton-ely, LPC 516 Moosic Rd, Old Forge, PA 18518-2027 Ph: (570) 562-1166 | Mrs Jacqueline Judeth Costello-atherton-ely, LPC 516 Moosic Rd, Old Forge, PA 18518-2027 Ph: (570) 562-1166 |
Lindsey Cochrane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 506 Clark St, Old Forge, PA 18518 Phone: 570-499-4597 | |
Sloan A Svadeba-cummings, M.S., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Moosic Rd, Old Forge, PA 18518 Phone: 570-677-7730 | |
Lisa Kossuth, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1201 S Main St Rear, Old Forge, PA 18518 Phone: 570-457-4747 |