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Individual
NICOLE DRAKE
Active
Individual
NICOLE DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC, ACS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00157100
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00452300
NJ
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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