Provider Demographics
NPI:1942729447
Name:VAIL, NANCY JEAN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:JEAN
Last Name:VAIL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:NANCY
Other - Middle Name:JEAN
Other - Last Name:MICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 GRACEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2914
Mailing Address - Country:US
Mailing Address - Phone:973-886-0762
Mailing Address - Fax:
Practice Address - Street 1:12 GRACEVIEW DR
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2914
Practice Address - Country:US
Practice Address - Phone:973-886-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00383600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health