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Nicole Douglas, LPCACS
Counselor in Vineland, New Jersey
NPI 1912416389

Nicole Douglas is a Counselor based in Marlton, NJ. Nicole Douglas practices in Vineland, NJ and has the professional credentials of LPCACS. The NPI Number for Nicole Douglas is 1912416389 and holds a License No. 37AC00380400 (New Jersey).

The current practice location address for Nicole Douglas is 60 W Landis Ave, Vineland, NJ and can be reached out via phone at 856-772-5809.

Location: 60 W Landis Ave, Vineland, NJ, 08053-2217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912416389
Provider Name
Nicole Douglas
Credential
LPCACS
Provider Entity Type
Individual
Gender
Female
Address
60 W Landis Ave, Vineland, NJ, 08053-2217
Phone Number
856-772-5809
Fax Number
Provider Enumeration Date
09/28/2017
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
37AC00380400 05 NJ
institution
Provider Business Practice Location Address Details
Address
60 W Landis Ave
City
Vineland
State
New Jersey
Zip
08360-8107
Phone Number
856-772-5809
Fax Number
person
Provider Business Mailing Address Details
Address
60 W Landis Ave
City
Vineland
State
New Jersey
Zip
08360-8107
Phone Number
856-772-5809
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
37AC00380400 (New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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