person
Nichole Decorah, LPC-IT
Professional Counselor in Portage, Wisconsin
NPI 1154894848

Nichole Decorah is a Professional Counselor based in Reedsburg, WI and is specialized in Professional. Nichole Decorah practices in Portage, WI and has the professional credentials of LPC-IT. The NPI Number for Nichole Decorah is 1154894848 and holds a License No. 5176-226 (Wisconsin).

The current practice location address for Nichole Decorah is 1508 New Pinery Rd, Portage, WI and can be reached out via phone at 608-745-4900.

Location: 1508 New Pinery Rd, Portage, WI, 53959-1231
person
Provider Profile Details
NPI Number
1154894848
Provider Name
Nichole Decorah
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
1508 New Pinery Rd, Portage, WI, 53959-1231
Phone Number
608-745-4900
Fax Number
Provider Enumeration Date
01/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1508 New Pinery Rd
City
State
Zip
53901-1312
Phone Number
608-745-4900
Fax Number
person
Provider Business Mailing Address Details
Address
1508 New Pinery Rd
City
State
Zip
53901-1312
Phone Number
608-745-4900
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5176-226 (Wisconsin)
Definition
Definition to come...
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