Individual provider · Type 1 NPI

Linda S. Masullo, LMFTA

Mental Health Counselor · Charleston, SC

NPI number 1871144022 Active

Practice location

2100 Charlie Hall Blvd
Charleston, SC 29414-5832

Fax (843) 851-2110

Mailing address

403 Stony Landing Rd
Moncks Corner, SC 29461-3967

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X7167 (SC)
Mental Health Counselor Primary 101YM0800X7076 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1871144022

Linda S. Masullo, LMFTA's National Provider Identifier is 1871144022, issued on Sep 27, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, SC. The record was last updated on Apr 14, 2025.