Individual provider · Type 1 NPI

Nicolette Rose Takach, LPC

Professional Counselor · Brick, NJ

NPI number 1740077569 Active

Practice location

35 Beaverson Blvd
Brick, NJ 08723-7812

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37PC01137400 (NJ)

Professional Counselor: Definition to come...

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About NPI 1740077569

Nicolette Rose Takach, LPC's National Provider Identifier is 1740077569, issued on Apr 23, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brick, NJ. The record was last updated on Apr 23, 2025.