Individual
NICOLE GUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4122 ROUTE 516, MATAWAN, NJ 07747-7031
(732) 679-4500
(732) 679-4549
Mailing address
4122 ROUTE 516, MATAWAN, NJ 07747-7031
(732) 679-4500
(732) 679-4549
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00529900
NJ
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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