MRS. JACQUELINE COSTELLO-ATHERTON-ELY, L.P.C.

Counselor - Professional

Active Individual
NPI: 1568547313

Practice Address

516 MOOSIC RD
Old Forge, PA 18518

Phone: (570) 562-1166

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes PC002586 (PA)

Frequently Asked Questions

NPI 1568547313 is the National Provider Identifier for MRS. JACQUELINE COSTELLO-ATHERTON-ELY, L.P.C., a Counselor - Professional provider located in Old Forge, PA. This NPI was enumerated on October 26, 2006.
MRS. JACQUELINE COSTELLO-ATHERTON-ELY, L.P.C. practices at 516 MOOSIC RD, Old Forge, PA 18518.

Quick Facts

NPI
1568547313
Type
Individual
Enumerated
Oct 26, 2006
Last Updated
Jul 8, 2007

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