Doctor Name: | MRS. ANTONELLA MARIA GUTTILLA |
NPI Number: | 1699063628 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 37PC00374000 |
Business Practice Address: | 801 Franklin Ave 2nd Floor Franklin Lakes, NJ - 074171371 |
Business Phone Number: | 9738865693 |
Business Fax Number: | |
Mailing Address: | 801 Franklin Ave, 2nd Floor FRANKLIN LAKES |
State: | NJ |
Postal Code: | 074171371 |
Phone Number: | 9738865693 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2011 |
NPI Last Update Date: | 07/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00374000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |