Provider Demographics
NPI:1619347291
Name:PRESNAR, NICOLE (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:PRESNAR
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:AMABILE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:1218 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-2021
Mailing Address - Country:US
Mailing Address - Phone:724-856-4303
Mailing Address - Fax:724-652-9222
Practice Address - Street 1:1218 W STATE ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-2021
Practice Address - Country:US
Practice Address - Phone:724-856-4303
Practice Address - Fax:724-652-9222
Is Sole Proprietor?:No
Enumeration Date:2015-09-25
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional