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Organization
KELLEY COSTELLO, LMFT, INC.
Active
Organization
KELLEY COSTELLO, LMFT, INC.
Active
Other names
Kelley Costello, LMFT, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLEY ANNE COSTELLO LMFT (OWNER/PRESIDENT)
(774) 322-1306
Entity
Organization
Contact information
Practice address
10 S MAIN ST STE 207, ATTLEBORO, MA 02703-2920
(774) 322-1306
Mailing address
10 S MAIN ST STE 207, ATTLEBORO, MA 02703-2920
(774) 322-1306
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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