Individual
TRAVELL NICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
19 PINEVIEW DR, TOMS RIVER, NJ 08755-8026
(848) 223-0949
Mailing address
19 PINEVIEW DR, TOMS RIVER, NJ 08755-8026
(848) 223-0949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00347900
NJ
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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