Individual
NICOLE MARIE MANCINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMC, LCMHC
Contact information
Practice address
21 QUAIL RUN, NEW LONDON, NH 03257-5871
(908) 917-6990
Mailing address
21 QUAIL RUN, NEW LONDON, NH 03257-5871
(908) 917-6990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0135622
VT
101YM0800X
Mental Health Counselor
2776
NH
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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