Individual
NICOLE ANN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCADC, ACS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00260200
NJ
101YP2500X
Professional Counselor
Primary
37PC00542900
NJ
Other
Enumeration date
09/13/2019
Last updated
12/22/2023
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