Doctor Name: | NICOLE SAMANTHA DONATO |
NPI Number: | 1245495456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00348500 |
Business Practice Address: | 2038 Carmel Rd Millville, NJ - 083329754 |
Business Phone Number: | 8568256810 |
Business Fax Number: | |
Mailing Address: | 2038 Carmel Rd, MILLVILLE |
State: | NJ |
Postal Code: | 083329754 |
Phone Number: | 8568256810 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2008 |
NPI Last Update Date: | 07/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00348500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |