Provider Demographics
NPI:1912367699
Name:NICOLE, ALLISON (LPC, LCADC)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:NICOLE
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:
Other - Last Name:MANNIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LCADC
Mailing Address - Street 1:1220 STATE ROUTE 31
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NJ
Mailing Address - Zip Code:08833-3268
Mailing Address - Country:US
Mailing Address - Phone:845-821-1529
Mailing Address - Fax:
Practice Address - Street 1:370 MEMORIAL PARKWAY
Practice Address - Street 2:FAMILY GUIDANCE CENTER OF WARREN COUNTY
Practice Address - City:PHILLIPSBURG
Practice Address - State:NJ
Practice Address - Zip Code:08865-1580
Practice Address - Country:US
Practice Address - Phone:908-454-4470
Practice Address - Fax:908-454-5317
Is Sole Proprietor?:No
Enumeration Date:2016-02-24
Last Update Date:2023-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00297600101Y00000X
NJ37PC00592800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor