Nicole Drake, LPC, LCADC, ACS

NPI #1407257785 in Keyport, New Jersey

Provider Information

NPI Number: 1407257785
Entity Type: Individual
Name: Nicole Drake, LPC, LCADC, ACS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LPC, LCADC, ACS
Enumeration Date: Sep 5, 2014
Last Updated: Sep 5, 2014

Practice Location

Address: 36 GREEN GROVE AVE
Address 2: #2
City: Keyport
State: New Jersey
ZIP Code: 07735-1839
Phone: (908) 693-5279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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