Individual provider · Type 1 NPI

Nicholas Desisto

Professional Counselor · Eatontown, NJ

NPI number 1487319158 Active

Practice location

615 Hope Rd Ste 3B
Eatontown, NJ 07724-1273

Mailing address

21 Alessio Ter
Hamilton, NJ 08620-9772

Other practice locations

  • 6 Cornwall Ct Ste B, East Brunswick, NJ 08816-3347 · (732) 955-4141

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1487319158

Nicholas Desisto's National Provider Identifier is 1487319158, issued on Nov 7, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Eatontown, NJ. The record was last updated on Nov 7, 2021.