Melissa Marie Rullo, LCADC, LCSW
Counselor, Addiction (Substance Use Disorder) in Red Bank, NJ. Individual provider (NPI-1).
NPI number1982196622
StatusActive
Last updated in NPPESMay 30, 2018
Details
- NPI
- 1982196622
- Entity type
- Individual (NPI-1)
- Name
- Melissa Marie Rullo
- Credential
- LCADC, LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2018
- Last updated
- May 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 37LC00255500 | NJ | Yes |
| 1041C0700X | Social Worker, Clinical | 44SC05710800 | NJ |
Practice location
600 Route 35Red Bank, NJ 07701-5018
Phone 732-706-1300
Mailing address
22 London DrJackson, NJ 08527-2616
Phone 732-575-2975
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All 14 Addiction (Substance Use Disorder) Counselor providers in Red Bank · All 1,651 providers in Red Bank
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