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Nicole Lynn Bengtson, MS
Mental Health Counselor in Beloit, Wisconsin
NPI 1356792964

Nicole Lynn Bengtson is a Mental Health Counselor based in Beloit, WI and is specialized in Mental Health. Nicole Lynn Bengtson practices in Beloit, WI and has the professional credentials of MS. The NPI Number for Nicole Lynn Bengtson is 1356792964 and holds a License No. 1113-226 (Wisconsin).

The current practice location address for Nicole Lynn Bengtson is 1969 W Hart Rd, Beloit, WI and can be reached out via phone at 608-364-5686.

Location: 1969 W Hart Rd, Beloit, WI, 53511-2230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356792964
Provider Name
Nicole Lynn Bengtson
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
1969 W Hart Rd, Beloit, WI, 53511-2230
Phone Number
608-364-5686
Fax Number
Provider Enumeration Date
06/24/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1113-226 05 WI
institution
Provider Business Practice Location Address Details
Address
1969 W Hart Rd
City
Beloit
State
Wisconsin
Zip
53511-2230
Phone Number
608-364-5686
Fax Number
person
Provider Business Mailing Address Details
Address
1969 W Hart Rd
City
Beloit
State
Wisconsin
Zip
53511-2230
Phone Number
608-364-5686
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1113-226 (Wisconsin)
Definition
Definition to come...
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