Individual
NICOLE DIANE BAYLIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LCADC
Contact information
Practice address
32 S MAIN ST STE D, MEDFORD, NJ 08055-2455
(856) 617-4544
Mailing address
68 EATON RD, BORDENTOWN, NJ 08505-2716
(609) 668-0096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00312200
NJ
101YP2500X
Professional Counselor
Primary
37PC00747400
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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