Individual
MS. NICOLE LAMARRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(609) 519-7909
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(609) 519-7909
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00979900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0988294
—
NJ
01
—
LO3385916155716
LICENSE
NJ
Enumeration date
04/20/2017
Last updated
06/27/2024
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