Individual
MS. NICOLLE G PETTICREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., CADC
Contact information
Practice address
24 BROOKHILL DR, NEWARK, DE 19702-1301
(302) 454-3020
(302) 454-0298
Mailing address
24 BROOKHILL DR, NEWARK, DE 19702-1301
(302) 454-3020
(302) 454-0298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000040972
—
DE
Enumeration date
01/23/2007
Last updated
09/13/2019
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