Individual
KELLY ELIZABETH SCHULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8348 NANDINA DR, SARASOTA, FL 34240-9523
(201) 321-2038
Mailing address
227 LINCOLN AVE, TOTOWA, NJ 07512-2123
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00305200
NJ
101YP2500X
Professional Counselor
Primary
37PC00642200
NJ
Other
Enumeration date
09/25/2018
Last updated
08/02/2022
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