Active NPIIndividual providerSole proprietor

Nicole Anderson, LAC

Counselor, Mental Health in West Deptford, New Jersey

NPI Number1992522569
Practice location
675 Grove RD, West Deptford, NJ 08066-1925
Fax
—
Last updated
September 24, 2024

Nicole Anderson is a Counselor, Mental Health based in West Deptford, NJ. Nicole Anderson practices in West Deptford, NJ and has the professional credentials of LAC. The NPI Number for Nicole Anderson is 1992522569 and holds a License No. 37AC00694800 (NJ). The current practice location address for Nicole Anderson is 675 Grove RD, West Deptford, NJ 08066-1925 and can be reached out via phone at 609-221-5492.

Provider Profile Details

NPI Number
1992522569
Provider Name
Nicole Anderson
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
675 Grove RD, West Deptford, NJ 08066-1925
Phone Number
609-221-5492
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 24, 2024
Last Update Date
September 24, 2024
Certification Date
September 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
675 Grove RD
West Deptford, NJ 08066-1925
Zip
08066-1925
Phone Number
609-221-5492
West Deptford, NJ 08066Get directions →

Provider Business Mailing Address Details

Address
252 Walnut St
West Deptford, NJ 08096-1405
City
West Deptford
State
NJ
Zip
08096-1405
Phone Number
609-221-5492

License Information

License Number
37AC00694800
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Nicole Anderson, LAC?

The NPI number of Nicole Anderson, LAC is 1992522569. It was assigned on September 24, 2024 and is currently active in the NPPES registry.

What is the specialty of Nicole Anderson, LAC?

Nicole Anderson, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00694800.

Where does Nicole Anderson, LAC practice?

The practice location is 675 Grove RD, West Deptford, NJ 08066-1925. The office can be reached at 609-221-5492 (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 1992522569 directly on the NPPES registry website.

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