Individual provider · Type 1 NPI

Susan Marie Tully, LAC

Mental Health Counselor · Denville, NJ

NPI number 1225744402 Active

Practice location

9 Broadway Ste 20
Denville, NJ 07834-2854

Call (862) 259-5506 Map

Mailing address

22 Mile Dr
Chester, NJ 07930-2802

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X37AC00548800 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1225744402

Susan Marie Tully, LAC's National Provider Identifier is 1225744402, issued on Jan 30, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Denville, NJ. The record was last updated on Jan 30, 2023.