Provider Demographics
NPI:1750759577
Name:WILL-DEL TUFO, KERI LYNN (LPCMH)
Entity type:Individual
Prefix:
First Name:KERI
Middle Name:LYNN
Last Name:WILL-DEL TUFO
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 GREEN LN
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4004
Mailing Address - Country:US
Mailing Address - Phone:302-584-5284
Mailing Address - Fax:
Practice Address - Street 1:1704 GREEN LN
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4004
Practice Address - Country:US
Practice Address - Phone:302-455-8684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional