| Doctor Name: | JANINE ELLEN HURLEY-NICOLL |
| NPI Number: | 1639516008 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 44SC05256200 |
| Business Practice Address: | 155 County Rd Suite 14 Cresskill, NJ - 076262200 |
| Business Phone Number: | 5514865148 |
| Business Fax Number: | 2015860344 |
| Mailing Address: | 93 E Linden Ave, DUMONT |
| State: | NJ |
| Postal Code: | 076281913 |
| Phone Number: | 5514865148 |
| Fax Number: | 2015860344 |
| NPI Enumeration Date: | 05/26/2013 |
| NPI Last Update Date: | 05/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 44SC05256200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |