TRAVELL NICKEY

TOMS RIVER, NJ
NPI1093460735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NJ  37LC00347900)
Enumeration Date2022-02-21
Last Update Date2022-02-21
Business Address
TRAVELL NICKEY LCADC
19 PINEVIEW DR
TOMS RIVER, NJ 08755-8026
Phone number: 848-223-0949
Mailing Address
TRAVELL NICKEY LCADC
19 PINEVIEW DR
TOMS RIVER, NJ 08755-8026
Phone number: 848-223-0949