Provider Demographics
NPI:1881179349
Name:JENNINGS-GIRAU, NICOLE OLIVIA (MS NCC LPC CFTP CCFP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:OLIVIA
Last Name:JENNINGS-GIRAU
Suffix:
Gender:F
Credentials:MS NCC LPC CFTP CCFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 WESTBROOK RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2121
Mailing Address - Country:US
Mailing Address - Phone:848-205-1840
Mailing Address - Fax:
Practice Address - Street 1:22 WESTBROOK RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2121
Practice Address - Country:US
Practice Address - Phone:848-205-1840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00269100101YM0800X
NJ37PC00673500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health