Provider Demographics
NPI:1639493604
Name:NIKITOPOULOS, ADRIANE RUTH (MA)
Entity Type:Individual
Prefix:MS
First Name:ADRIANE
Middle Name:RUTH
Last Name:NIKITOPOULOS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12507 WATERHAVEN CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8700
Mailing Address - Country:US
Mailing Address - Phone:321-276-0851
Mailing Address - Fax:
Practice Address - Street 1:12507 WATERHAVEN CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8700
Practice Address - Country:US
Practice Address - Phone:321-276-0851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor