person
Nichol Wienkes
Professional Counselor in Green Lake, Wisconsin
NPI 1639545023

Nichol Wienkes is a Professional Counselor based in Green Lake, WI and is specialized in Professional. Nichol Wienkes practices in Green Lake, WI. The NPI Number for Nichol Wienkes is 1639545023 and holds a License No. 16805-130 (Wisconsin).

The current practice location address for Nichol Wienkes is 571 County Road A, Green Lake, WI and can be reached out via phone at 920-294-4070 and via fax at 920-294-4139.

Location: 571 County Road A, Green Lake, WI, 54941-8630
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Provider Profile Details
NPI Number
1639545023
Provider Name
Nichol Wienkes
Credential
Provider Entity Type
Individual
Gender
Female
Address
571 County Road A, Green Lake, WI, 54941-8630
Phone Number
920-294-4070
Fax Number
920-294-4139
Provider Enumeration Date
08/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100047842 05 WI
institution
Provider Business Practice Location Address Details
Address
571 County Road A
City
State
Zip
54941-8630
Phone Number
920-294-4070
Fax Number
920-294-4139
person
Provider Business Mailing Address Details
Address
571 County Road A
City
State
Zip
54941-8630
Phone Number
920-294-4070
Fax Number
920-294-4139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5942-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16805-130 (Wisconsin)
Definition
Definition to come...
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