Individual
JESSICA MASSULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1241 COLLEGE PARK DR, DOVER, DE 19904-8713
(302) 735-7790
(302) 735-3654
Mailing address
1241 COLLEGE PARK DR, DOVER, DE 19904-8713
(302) 735-7790
(302) 735-3654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
114964
DE
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
948
DE
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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