Individual
NICOLE TANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
100 CAMPUS DR, SUITE 101, MORGANVILLE, NJ 07751-1282
(732) 617-6210
(732) 617-6211
Mailing address
100 CAMPUS DR, MORGANVILLE, NJ 07751-1282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00494800
NJ
101YP2500X
Professional Counselor
Primary
37PC00494800
NJ
Other
Enumeration date
04/29/2014
Last updated
02/27/2015
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