Individual
NICOLE JEAN MCCREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 MORRIS AVE, SUMMIT, NJ 07901-3516
(908) 347-4695
Mailing address
230 MORRIS AVE, SUMMIT, NJ 07901-3516
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00343500
NJ
101YP2500X
Professional Counselor
Primary
37PC00800100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37LC00343500
LCADC
NJ
01
—
37PC00800100
LPC
NJ
Enumeration date
04/15/2022
Last updated
04/15/2022
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