Individual provider · Type 1 NPI

Nicole Marie Vaccaro, PhD

Mental Health Counselor · Lutz, FL

NPI number 1205356227 Active

Practice location

17734 Hunting Bow Cir Ste 101
Lutz, FL 33558-5383

Call (813) 443-5311 Map

Mailing address

12017 Tuscany Bay Dr Apt 301
Tampa, FL 33626-1369

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH11745 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1205356227

Nicole Marie Vaccaro, PhD's National Provider Identifier is 1205356227, issued on Jun 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lutz, FL. The record was last updated on Jun 21, 2017.