Individual
NICOLE MACHENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW LCADC
Contact information
Practice address
129 JOHNSON RD STE 7, TURNERSVILLE, NJ 08012-1777
(609) 221-3402
(856) 863-3917
Mailing address
129 JOHNSON RD STE 7, TURNERSVILLE, NJ 08012-1777
(609) 221-3402
(856) 863-3917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00361600
NJ
104100000X
Social Worker
44SL06793800
NJ
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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