Individual
MRS. JACQUELINE JUDETH COSTELLO-ATHERTON-ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
516 MOOSIC RD, OLD FORGE, PA 18518-2027
(570) 562-1166
(570) 457-3779
Mailing address
516 MOOSIC RD, OLD FORGE, PA 18518-2027
(570) 562-1166
(570) 457-3779
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC002586
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015080380002
—
PA
Enumeration date
10/26/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us