Individual
NICOLE DEPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
74 LOCKER ST, #43, BEACHWOOD, NJ 08722-0043
(848) 480-1731
(888) 538-6164
Mailing address
PO BOX 43, BEACHWOOD, NJ 08722-0043
(848) 480-1731
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37PC00718200
NJ
Other
Enumeration date
05/27/2020
Last updated
04/25/2022
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