Provider Demographics
NPI:1447083134
Name:TORRUELLA, JEANETTE (LAC)
Entity type:Individual
Prefix:
First Name:JEANETTE
Middle Name:
Last Name:TORRUELLA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 YELLOW MEETINGHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:MILLSTONE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08510-2103
Mailing Address - Country:US
Mailing Address - Phone:609-480-5574
Mailing Address - Fax:
Practice Address - Street 1:155 ROBBINSVILLE EDINBURG RD
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-3013
Practice Address - Country:US
Practice Address - Phone:609-632-9401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool