Individual
MS. EMILY LYNN TOOTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, LAC
Contact information
Practice address
650 RANCOCAS RD, WESTAMPTON, NJ 08060-5613
(609) 518-2242
(609) 518-2230
Mailing address
43 WESLEY LN, BURLINGTON, NJ 08016-4249
(609) 784-5685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N37AC00494500
LAC
—
Enumeration date
04/14/2020
Last updated
04/14/2020
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