Provider Demographics
NPI:1114220654
Name:SILLETTI, FRANK (LCADC)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:SILLETTI
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-1000
Mailing Address - Country:US
Mailing Address - Phone:908-400-8606
Mailing Address - Fax:908-928-9353
Practice Address - Street 1:330 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-1000
Practice Address - Country:US
Practice Address - Phone:908-400-8606
Practice Address - Fax:908-928-9353
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00060400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)