Susan Marie Tully, LAC
NPI #1225744402 in Denville, New Jersey
Provider Information
- NPI Number
- 1225744402
- Entity Type
- Individual
- Name
- Susan Marie Tully, LAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- LAC
- Enumeration Date
- Jan 30, 2023
- Last Updated
- Jan 30, 2023
Practice Location
- Address
- 9 BROADWAY STE 20
- City
- Denville
- State
- New Jersey
- ZIP Code
- 07834-2854
- Phone
- (862) 259-5506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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