Doctor Name: | MRS. NICOLE PFEFFLE LONANO |
NPI Number: | 1851543730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 2897 Se Monroe St Stuart, FL - 349975914 |
Business Phone Number: | 7728340834 |
Business Fax Number: | |
Mailing Address: | 1992 Sw Lewis St, PORT SAINT LUCIE |
State: | FL |
Postal Code: | 349872084 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/22/2008 |
NPI Last Update Date: | 10/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |