| Doctor Name: | MISS NICOLE OPPENHEIMER |
| NPI Number: | 1699932988 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.C.A.D.C. |
| License Number: | 37LC00146700 |
| Business Practice Address: | 500 Route 33 Ground Level, Suite Lla Millstone Township, NJ - 085358538 |
| Business Phone Number: | 7328590575 |
| Business Fax Number: | |
| Mailing Address: | 500 Route 33, Ground Level, Suite Lla MILLSTONE TOWNSHIP |
| State: | NJ |
| Postal Code: | 085358538 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/22/2008 |
| NPI Last Update Date: | 05/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00146700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |