| Doctor Name: | NICOLE TANGO |
| NPI Number: | 1376953307 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00494800 |
| Business Practice Address: | 100 Campus Dr Suite 101 Morganville, NJ - 077511282 |
| Business Phone Number: | 7326176210 |
| Business Fax Number: | 7326176211 |
| Mailing Address: | 100 Campus Dr, MORGANVILLE |
| State: | NJ |
| Postal Code: | 077511282 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2014 |
| NPI Last Update Date: | 02/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37PC00494800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |