| Kelley Costello, Lmft, Inc. | |
|
10 S Main St Ste 207 Attleboro MA 02703-2920 | |
| (774) 322-1306 | |
| Not Available |
| Full Name | Kelley Costello, Lmft, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 10 S Main St Ste 207, Attleboro, Massachusetts |
| Authorized Official Name and Position | Kelley Anne Costello (OWNER/PRESIDENT) |
| Authorized Official Contact | 7743221306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Costello, Lmft, Inc. 10 S Main St Ste 207 Attleboro MA 02703-2920 Ph: (774) 322-1306 | Kelley Costello, Lmft, Inc. 10 S Main St Ste 207 Attleboro MA 02703-2920 Ph: (774) 322-1306 |
| NPI Number | 1164029344 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/01/2020 |
| Certification Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164029344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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