Doctor Name: | MISS JULIA ANNUNZIATINA FRASCIELLO |
NPI Number: | 1194063685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.S.W. |
License Number: | 44SL05814300 |
Business Practice Address: | 1 Main St Lowr South Amboy, NJ - 088791142 |
Business Phone Number: | 7327272555 |
Business Fax Number: | 7327270255 |
Mailing Address: | 792 Liberty Ave, UNION |
State: | NJ |
Postal Code: | 070836473 |
Phone Number: | 2016698733 |
Fax Number: | |
NPI Enumeration Date: | 01/18/2013 |
NPI Last Update Date: | 01/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 44SL05814300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |