| Doctor Name: | NICOLE TUZINSKI |
| NPI Number: | 1538543426 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCPC |
| License Number: | XL4474 |
| Business Practice Address: | 74 State Rd Kittery, ME - 039041564 |
| Business Phone Number: | 2078541030 |
| Business Fax Number: | 2078994623 |
| Mailing Address: | 470 Forest Ave, PORTLAND |
| State: | ME |
| Postal Code: | 041012009 |
| Phone Number: | 2078541030 |
| Fax Number: | 2078994623 |
| NPI Enumeration Date: | 07/10/2015 |
| NPI Last Update Date: | 07/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | XL4474 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |