Provider Demographics
NPI:1427590140
Name:MILITELLO, FRANK (MA, LADC-I)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:MILITELLO
Suffix:
Gender:M
Credentials:MA, LADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ELM ST FL 3
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-3725
Mailing Address - Country:US
Mailing Address - Phone:978-283-0296
Mailing Address - Fax:978-283-2665
Practice Address - Street 1:33 ELM ST FL 3
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-3725
Practice Address - Country:US
Practice Address - Phone:978-283-0296
Practice Address - Fax:978-283-2665
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-11
Last Update Date:2022-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)