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Jacqueline Patricia Niccolai, LPC-IT
Counselor in Kenosha, Wisconsin
NPI 1093475477

Jacqueline Patricia Niccolai is a Counselor based in Kenosha, WI. Jacqueline Patricia Niccolai practices in Kenosha, WI and has the professional credentials of LPC-IT. The NPI Number for Jacqueline Patricia Niccolai is 1093475477 and holds a License No. (Wisconsin).

The current practice location address for Jacqueline Patricia Niccolai is 6121 Greenbay Rd, Kenosha, WI and can be reached out via phone at 262-694-3718.

Location: 6121 Greenbay Rd, Kenosha, WI, 53142-2023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093475477
Provider Name
Jacqueline Patricia Niccolai
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
6121 Greenbay Rd, Kenosha, WI, 53142-2023
Phone Number
262-694-3718
Fax Number
Provider Enumeration Date
12/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6121 Greenbay Rd
City
Kenosha
State
Wisconsin
Zip
53142
Phone Number
262-694-3718
Fax Number
person
Provider Business Mailing Address Details
Address
6121 Greenbay Rd
City
Kenosha
State
Wisconsin
Zip
53142
Phone Number
262-694-3718
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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