Provider Demographics
NPI:1750109708
Name:MCNULTY, BRITTANY (MA, NCC, LPC, CADC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:MCNULTY
Suffix:
Gender:F
Credentials:MA, NCC, LPC, CADC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC, LPC, CADC
Mailing Address - Street 1:11 FLOOD DR
Mailing Address - Street 2:
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18705-3751
Mailing Address - Country:US
Mailing Address - Phone:570-817-5524
Mailing Address - Fax:
Practice Address - Street 1:11 FLOOD DR
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18705-3751
Practice Address - Country:US
Practice Address - Phone:570-817-5524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA16941101YA0400X
PAPC017199101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)