Individual
NICHOLE TATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BIRMINGHAM RD, PEMBERTON, NJ 08068-1326
(609) 288-8844
(609) 784-8191
Mailing address
PO BOX 161, RANCOCAS, NJ 08073-0161
(609) 271-9273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00149500
NJ
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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