| Doctor Name: | NATE TERRELL |
| NPI Number: | 1205039823 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, LCSW |
| License Number: | SC00600100 |
| Business Practice Address: | 693 Franklinville Rd Mullica Hill, NJ - 080624703 |
| Business Phone Number: | 8562230606 |
| Business Fax Number: | |
| Mailing Address: | 693 Franklinville Road, MULLICA HILL |
| State: | NJ |
| Postal Code: | 08062 |
| Phone Number: | 8562230606 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SC00600100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |