Mrs. Jacqueline Judeth Costello-atherton-ely is a Old Forge, Pennsylvania based counselor who is specialized as Professional Counselor. Active license number of Mrs. Jacqueline Judeth Costello-atherton-ely is PC002586 for Professional Counselor in Pennsylvania. Her current practice location is 516 Moosic Rd, Old Forge. Patients can book an appointment with her at 570-562-1166.
Mrs. Jacqueline Judeth Costello-atherton-ely is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Mrs. Jacqueline Judeth Costello-atherton-ely speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mrs. Jacqueline Judeth Costello-atherton-ely
Specialization:
Professional Counselor
Gender:
Female
Credentials:
L.P.C.
Accepts Medicare Assignment:
No
Practice Address:
516 Moosic Rd, Old Forge, Pennsylvania, 18518-2027
Phone:
570-562-1166
Fax:
570-457-3779
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1568547313
NPI Enumeration Date:
26 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Jacqueline Judeth Costello-atherton-ely are as mentioned below.
License Number
Specialization
State
Status
PC002586
Professional Counselor
Pennsylvania
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Jacqueline Judeth Costello-atherton-ely such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0015080380002
Medicaid
Pennsylvania
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
516 Moosic Rd, Old Forge, Pennsylvania
Zip:
18518-2027
Phone Number:
570-562-1166
Fax Number:
570-457-3779
Patients can reach Mrs. Jacqueline Judeth Costello-atherton-ely at 516 Moosic Rd, Old Forge, Pennsylvania or can call to book an appointment on 570-562-1166. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.