Provider Demographics
NPI:1336656792
Name:ZAMBRANO, NICOL (LMHC)
Entity Type:Individual
Prefix:
First Name:NICOL
Middle Name:
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 NANUET AVE
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3203
Mailing Address - Country:US
Mailing Address - Phone:914-806-2370
Mailing Address - Fax:
Practice Address - Street 1:8 NANUET AVE
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-3203
Practice Address - Country:US
Practice Address - Phone:914-806-2370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-08
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health