| Doctor Name: | MRS. DIANE L NIES |
| NPI Number: | 1063559359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW LCADC |
| License Number: | 37LC00109100 |
| Business Practice Address: | 1801 Greenwood Lake Turnpike Hewitt, NJ - 07421 |
| Business Phone Number: | 9737283938 |
| Business Fax Number: | 9737287913 |
| Mailing Address: | 21 Evans Place, C O New Bridge Services Inc POMPTON PLAINS |
| State: | NJ |
| Postal Code: | 07444 |
| Phone Number: | 9739072700 |
| Fax Number: | 9738394770 |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00109100 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |