Active NPIIndividual providerSole proprietor

Debra J Nicholson, CADC

Counselor, Addiction (Substance Use Disorder) in Lynn, Massachusetts

NPI Number1194287797
Practice location
11 Circle Ave, Lynn, MA 01905-3050
Fax
—
Last updated
June 11, 2019

Debra Jean Nicholson is a Counselor, Addiction (Substance Use Disorder) based in Lynn, MA. Debra Jean Nicholson practices in Lynn, MA and has the professional credentials of CADC. The NPI Number for Debra Jean Nicholson is 1194287797 and holds a License No. 1513AD (MA). The current practice location address for Debra Jean Nicholson is 11 Circle Ave, Lynn, MA 01905-3050 and can be reached out via phone at 781-836-4054.

Provider Profile Details

NPI Number
1194287797
Provider Name
Debra Jean Nicholson
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
11 Circle Ave, Lynn, MA 01905-3050
Phone Number
781-836-4054
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2019
Last Update Date
June 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Circle Ave
Lynn, MA 01905-3050
City
Lynn
Zip
01905-3050
Phone Number
781-836-4054
Lynn, MA 01905Get directions →

Provider Business Mailing Address Details

Address
11 Circle Ave
Lynn, MA 01905-3050
City
Lynn
State
MA
Zip
01905-3050
Phone Number
781-836-4054

License Information

License Number
1513AD
License State
MA
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Debra J Nicholson, CADC?

The NPI number of Debra J Nicholson, CADC is 1194287797. It was assigned on April 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Debra J Nicholson, CADC?

Debra J Nicholson, CADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in MA under license number 1513AD.

Where does Debra J Nicholson, CADC practice?

The practice location is 11 Circle Ave, Lynn, MA 01905-3050. The office can be reached at 781-836-4054 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194287797 directly on the NPPES registry website.

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