Provider Demographics
NPI:1386184497
Name:RIZZIELLO, JOSEPH MICHAEL (LPC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:RIZZIELLO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 SOUTH CLINTON AVENUE
Mailing Address - Street 2:THE CHILDREN'S HOME SOCIETY OF NJ
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611
Mailing Address - Country:US
Mailing Address - Phone:609-695-6274
Mailing Address - Fax:609-394-5769
Practice Address - Street 1:635 SOUTH CLINTON AVENUE
Practice Address - Street 2:THE CHILDREN'S HOME SOCIETY OF NJ
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611
Practice Address - Country:US
Practice Address - Phone:609-695-6274
Practice Address - Fax:609-394-5769
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00146700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional