person
Nicholas R Mayor, MALPCSAC
Professional Counselor in Kenosha, Wisconsin
NPI 1831103761

Nicholas R Mayor is a Professional Counselor based in Brookfield, WI and is specialized in Professional. Nicholas R Mayor practices in Kenosha, WI and has the professional credentials of MALPCSAC. The NPI Number for Nicholas R Mayor is 1831103761 and holds a License No. 12318 (Wisconsin).

The current practice location address for Nicholas R Mayor is 3535 30Th Avenue, Kenosha, WI and can be reached out via phone at 262-842-0500 and via fax at 262-842-0502.

Location: 3535 30Th Avenue, Kenosha, WI, 53045-6102
person
Provider Profile Details
NPI Number
1831103761
Provider Name
Nicholas R Mayor
Credential
MALPCSAC
Provider Entity Type
Individual
Gender
Male
Address
3535 30Th Avenue, Kenosha, WI, 53045-6102
Phone Number
262-842-0500
Fax Number
262-842-0502
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39635400 05 WI
institution
Provider Business Practice Location Address Details
Address
3535 30Th Avenue
City
State
Zip
53144
Phone Number
262-842-0500
Fax Number
262-842-0502
person
Provider Business Mailing Address Details
Address
3535 30Th Avenue
City
State
Zip
53144
Phone Number
262-842-0500
Fax Number
262-842-0502
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
1681-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12318 (Wisconsin)
Definition
Definition to come...
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