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NPI Code Detail

MEDICARE: MRS. KRISTIN ANN CIRELLI MA

MEDICARE:  MRS. KRISTIN ANN CIRELLI  MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1972901643
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN ANN CIRELLI MA
Provider Business Mailing Address
First Line : 41 JACKSONVILLE RD
Second Line :
City : PEQUANNOCK
State : NJ
Zip : 07440-1212
Country : US
Telephone Number : 973-409-4449
Fax Number : 973-628-0554
Provider Business Practice Location Address
First Line : 41 JACKSONVILLE RD
Second Line :
City : PEQUANNOCK
State : NJ
Zip : 07440-1212
Country : US
Telephone Number : 973-409-4449
Fax Number : 973-628-0554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2014
Last Update Date : 12/12/2014

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Directions to “ MRS. KRISTIN ANN CIRELLI MA” Practice Location

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