THELMA COSTELLO MS LMHC PC
Agencies in Albany, NY

License number
New York 000145-1
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: THELMA A COSTELLO LMHC
Title: PSYCHOTHERAPIST
Phone: (518) 438-3139
Address
Address
4 Flr, Albany, NY 12203
National Provider ID: 1902031107
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THELMA A. COSTELLO MS, LICENSED MENTAL HEALTH COUNSELOR, PC

Albany, NY

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Doing business as:
Thelma Costello Ms Lmhc PC
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
May 22, 2009
Inactive since:
Jan 25, 2012
Addresses:
125 Wolf Rd SUITE 218, Albany, NY 12205 (Physical)
4 Executive Park Dr, Albany, NY 12203
State ID:
3814187
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Owner, Psychologists:
Thelma A Costello Ms, 125 Wolf Rd SUITE 218, Albany, NY 12205 (Physical),Thelma A. Costello (Owner, Psychologist)
Agent:
Thelma S. Costello,1 Ormond Dr, Schenectady, NY 12309 (Physical)

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