Ruthann Longo, MA, LPC

Individual provider Active NPI Mental Health Counselor · Upper Montclair, NJ

NPI 1528131125 · NPPES record last updated Nov 9, 2024

Key facts

NPI
1528131125
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
37PC00300800 (NJ)
Practice address
543 Valley Rd Ste 11
Upper Montclair, NJ 07043-1881
Phone
(973) 432-9402
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00300800NJMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00300800 NJ Yes

Addresses

Primary practice location

543 Valley Rd Ste 11
Upper Montclair, NJ 07043-1881

Mailing address

31 Brentwood Dr
Verona, NJ 07044-2518
Phone (973) 432-9402

Other providers in Upper Montclair, NJ

All providers in Upper Montclair, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.