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Individual
MR. LUIS VIRELLA
Active
Individual
MR. LUIS VIRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00241500
NJ
101YM0800X
Mental Health Counselor
Primary
44SC05660000
NJ
Other
Enumeration date
02/22/2016
Last updated
04/10/2024
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