Individual
EMILY ANN KULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1200 JUMPING BROOK RD, BLDG 5, STE 201, NEPTUNE, NJ 07753-2634
(732) 643-4363
Mailing address
1200 JUMPING BROOK RD, BLDG 5, STE 201, ATTN: BEHAVIORAL HEALTH CREDENTIALING, NEPTUNE, NJ 07753
(732) 643-4372
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37C00102600
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05720700
NJ
Other
Enumeration date
07/16/2006
Last updated
05/04/2017
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