Individual
NICOLE RACHEL WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
21 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4000
(631) 675-2400
Mailing address
21 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4000
(631) 675-2400
(631) 364-9850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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