NICOLE ANDERSON LAC
NPI 1992522569
Counselor - Mental Health in West Deptford, NJ
Active since September 24, 2024
About Nicole Anderson Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE ANDERSON LAC (NPI 1992522569) is an individual mental health provider in West Deptford, New Jersey, licensed in New Jersey (37AC00694800) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1992522569
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE ANDERSONCredential: LAC
Location Address675 GROVE RDWest Deptford, NJ 08066-1925
Mailing Address252 Walnut StWest Deptford, NJ 08096-1405 · (609) 221-5492
Phone(609) 221-5492
Sole ProprietorYes
Enumeration DateSeptember 24, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1992522569 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00694800
675 GROVE RD, West Deptford, NJ 08066
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992522569, enumerated as an "individual" on September 24, 2024.
The provider is located at 675 GROVE RD WEST DEPTFORD, NJ 08066 and the phone number is (609) 221-5492.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
