Kelley Costello, Lmft, INC.
Marriage & Family Therapist in Attleboro, MA. Organization (NPI-2).
NPI number1164029344
StatusActive
Last updated in NPPESOct 1, 2020
Details
- NPI
- 1164029344
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelley Costello, Lmft, INC.
- Organization subpart
- No
- Enumeration date
- Oct 1, 2020
- Certification date
- Oct 1, 2020
- Last updated
- Oct 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Kelley Costello, Lmft, INC. (Doing Business As)
Practice location
10 S Main St Ste 207Attleboro, MA 02703-2920
Phone 774-322-1306
Mailing address
10 S Main St Ste 207Attleboro, MA 02703-2920
Phone 774-322-1306
Authorized official
Kelley Anne Costello
Owner/President
7743221306
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