Mrs. Jacqueline Judeth Costello-Atherton-Ely, LPC
Mrs. Jacqueline Judeth Costello-Atherton-Ely, LPC is a Professional Counselor in Old Forge, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2006
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
516 Moosic RdOld Forge, PA 18518-2027
Phone: (570) 562-1166
Fax: (570) 457-3779
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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 PC002586 (PA) |
|---|
Record details
| NPI number | 1568547313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPC |
| Sole proprietor | Yes |
| NPI enumerated | October 26, 2006 |
| Last updated in NPPES | July 8, 2007 |
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