Individual
MS. CARIN MARTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 W SOUTH ORANGE AVE FL 2, SOUTH ORANGE, NJ 07079-1728
(973) 688-8858
(973) 368-8859
Mailing address
10 W SOUTH ORANGE AVE FL 2, SOUTH ORANGE, NJ 07079-1728
(973) 688-8858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC05264700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11719643
CAQH
—
Enumeration date
01/11/2019
Last updated
01/11/2019
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