Nicole Desantis, LPC
Counselor, Professional in Manalapan, NJ. Individual provider (NPI-1).
NPI number1821622846
StatusActive
Last updated in NPPESFeb 28, 2020
Details
- NPI
- 1821622846
- Entity type
- Individual (NPI-1)
- Name
- Nicole Desantis
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2020
- Certification date
- Feb 28, 2020
- Last updated
- Feb 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37PC00704700 | NJ | Yes |
Practice location
219 Taylors Mills RdManalapan, NJ 07726-3255
Phone 908-415-2042
Mailing address
219 Taylors Mills RdManalapan, NJ 07726-3255
Phone 908-415-2042
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