Provider Demographics
NPI:1235593302
Name:NICOLOSI, ANGELA (MS, NCC, LPC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:NICOLOSI
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2857 NAZARETH RD STE 204
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-2718
Mailing Address - Country:US
Mailing Address - Phone:610-440-4023
Mailing Address - Fax:
Practice Address - Street 1:2857 NAZARETH RD STE 204
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2718
Practice Address - Country:US
Practice Address - Phone:610-440-4023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2025-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health