Individual
CHRISTOPHER TULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ED.S, LAC
Contact information
Practice address
75 N MAPLE AVE STE 101B, RIDGEWOOD, NJ 07450-3261
(551) 250-1017
Mailing address
9 OLD LANE EXT, TOWACO, NJ 07082-1277
(973) 387-5128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00708700
NJ
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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