person
Nicole Shannon Thull, SAC-IT
Addiction (Substance Use Disorder) Counselor in Kewaskum, Wisconsin
NPI 1669962825

Nicole Shannon Thull is an Addiction (Substance Use Disorder) Counselor based in Kewaskum, WI and is specialized in Addiction (Substance Use Disorder). Nicole Shannon Thull practices in Kewaskum, WI and has the professional credentials of SAC-IT. The NPI Number for Nicole Shannon Thull is 1669962825 and holds a License No. 17291-130 (Wisconsin).

The current practice location address for Nicole Shannon Thull is 1421 Fond Du Lac Ave, Kewaskum, WI and can be reached out via phone at 262-626-4166 and via fax at 262-626-8431.

Location: 1421 Fond Du Lac Ave, Kewaskum, WI, 53040-9742
person
Provider Profile Details
NPI Number
1669962825
Provider Name
Nicole Shannon Thull
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
1421 Fond Du Lac Ave, Kewaskum, WI, 53040-9742
Phone Number
262-626-4166
Fax Number
262-626-8431
Provider Enumeration Date
05/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1421 Fond Du Lac Ave
City
State
Zip
53040-9136
Phone Number
262-626-4166
Fax Number
262-626-8431
person
Provider Business Mailing Address Details
Address
1421 Fond Du Lac Ave
City
State
Zip
53040-9136
Phone Number
262-626-4166
Fax Number
262-626-8431
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17291-130 (Wisconsin)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.