James R Dilullo

Individual provider Active NPI Mental Health Counselor · Atco, NJ

NPI 1699044313 · NPPES record last updated Dec 27, 2011

Key facts

NPI
1699044313
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
280 Jackson Rd
Atco, NJ 08004-1645
Phone
(856) 767-5757
NPI assigned
Dec 27, 2011
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

280 Jackson Rd
Atco, NJ 08004-1645

Mailing address

280 Jackson Rd
Atco, NJ 08004-1645
Phone (856) 767-5757

Other providers in Atco, NJ

All providers in Atco, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.