Individual provider · Type 1 NPI

Nicole Douglas, LPC ACS

Counselor · Vineland, NJ

NPI number 1912416389 Active

Practice location

60 W Landis Ave
Vineland, NJ 08360-8107

Mailing address

12 S Maple Ave Apt 310
Marlton, NJ 08053-2217

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00380400 (NJ)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1912416389

Nicole Douglas, LPC ACS's National Provider Identifier is 1912416389, issued on Sep 28, 2017. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Vineland, NJ. The record was last updated on Oct 18, 2024.