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Nicole Evans
Mental Health Counselor in Melville, New York
NPI 1568169894

Nicole Evans is a Mental Health Counselor based in Bay Shore, NY and is specialized in Mental Health. Nicole Evans practices in Melville, NY. The NPI Number for Nicole Evans is 1568169894 and holds a License No. (New York).

The current practice location address for Nicole Evans is 555 Broadhollow Rd, Melville, NY and can be reached out via phone at 631-505-2961.

Location: 555 Broadhollow Rd, Melville, NY, 11706-5202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568169894
Provider Name
Nicole Evans
Credential
Provider Entity Type
Individual
Gender
Female
Address
555 Broadhollow Rd, Melville, NY, 11706-5202
Phone Number
631-505-2961
Fax Number
Provider Enumeration Date
02/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
555 Broadhollow Rd
City
Melville
State
New York
Zip
11747-5078
Phone Number
631-505-2961
Fax Number
person
Provider Business Mailing Address Details
Address
555 Broadhollow Rd
City
Melville
State
New York
Zip
11747-5078
Phone Number
631-505-2961
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(New York)
Definition
Definition to come...
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