Individual provider · Type 1 NPI
Luis Virella, LCSW, LCADC
Mental Health Counselor · Vineland, NJ
NPI number
1134588965
Active · reactivated Mar 27, 2018
Practice location
2581 E Chestnut Ave Ste B-3
Vineland, NJ 08361-8487
Mailing address
PO Box 2738
Vineland, NJ 08362-2738
Other practice locations
- 504 Route 130 N Ste 201, Cinnaminson, NJ 08077-3370 · (609) 346-8740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00241500 (NJ) |
| Mental Health Counselor Primary | 101YM0800X | 44SC05660000 (NJ) |
Mental Health Counselor: Definition to come...
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About NPI 1134588965
Luis Virella, LCSW, LCADC's National Provider Identifier is 1134588965, issued on Feb 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vineland, NJ. The record was last updated on Apr 10, 2024.