Professional Therapist

Mrs. Jacqueline Judeth Costello-atherton-ely, L.P.C.

516 Moosic Rd, Old Forge, Pennsylvania, 18518-2027

About Mrs. Jacqueline Judeth Costello-atherton-ely

Mrs. Jacqueline Judeth Costello-atherton-ely is a therapist based in Old Forge, Pennsylvania who is specialized in 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 reach her at 570-562-1166 or can fax her at 570-457-3779. Mrs. Jacqueline Judeth Costello-atherton-ely is L.P.C. in Professional Counselor and her NPI number (Unique professional ID assigned by NPPES) is 1568547313.

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.

Practice Information

Mrs. Jacqueline Judeth Costello-atherton-ely speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.

Provider Name Mrs. Jacqueline Judeth Costello-atherton-ely
Specialization Professional Counselor
Credentials L.P.C.
Gender Female
Practice Address: 516 Moosic Rd,
Old Forge, PA - 18518-2027
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 Number1568547313
NPI Enumeration Date: 26 Oct, 2006
NPI Last Update On: 08 Jul, 2007

Medical Licenses:

Healthcare professionals can hold 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 NumberSpecializationStateStatus
PC002586Professional Counselor PennsylvaniaPrimary

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.
IdentifierTypeStateIssuer
0015080380002MedicaidPennsylvania

Mailing Address

Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned Practice address.

Mrs. Jacqueline Judeth Costello-atherton-ely
516 Moosic Rd,
Old Forge, PA - 18518-2027
Phone: 570-562-1166
Fax: 570-457-3779

Book an Appointment with Mrs. Jacqueline Judeth Costello-atherton-ely

To schedule an appointment, contact Mrs. Jacqueline Judeth Costello-atherton-ely at 516 Moosic Rd, Old Forge, Pennsylvania or call on below stated phone number.

Call to Book an Appointment

Frequently Asked Questions

Below are some commonly asked questions about Mrs. Jacqueline Judeth Costello-atherton-ely:

Mrs. Jacqueline Judeth Costello-atherton-ely is a therapist specializing in Professional Counselor. She 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.

Yes, Mrs. Jacqueline Judeth Costello-atherton-ely is currently accepting new patients. To schedule an appointment, contact the office directly and schedule an appointment.

Mrs. Jacqueline Judeth Costello-atherton-ely practices at 516 Moosic Rd, Old Forge, Pennsylvania, 18518-2027.

To schedule an appointment with Mrs. Jacqueline Judeth Costello-atherton-ely, please contact the office at 570-562-1166.

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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.