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Jennifer A Nichols, LPC-IT,SAC
Professional Counselor in Onalaska, Wisconsin
NPI 1871131482

Jennifer A Nichols is a Professional Counselor based in Onalaska, WI and is specialized in Professional. Jennifer A Nichols practices in Onalaska, WI and has the professional credentials of LPC-IT,SAC. The NPI Number for Jennifer A Nichols is 1871131482 and holds a License No. 16360-131 (Wisconsin).

The current practice location address for Jennifer A Nichols is 200 Mason St Ste 11, Onalaska, WI and can be reached out via phone at 608-769-6784.

Location: 200 Mason St Ste 11, Onalaska, WI, 54650
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Provider Profile Details
NPI Number
1871131482
Provider Name
Jennifer A Nichols
Credential
LPC-IT,SAC
Provider Entity Type
Individual
Gender
Female
Address
200 Mason St Ste 11, Onalaska, WI, 54650
Phone Number
608-769-6784
Fax Number
Provider Enumeration Date
12/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4346-226 01 WI STATE OF WISCONSIN
institution
Provider Business Practice Location Address Details
Address
200 Mason St Ste 11
City
State
Zip
54650-7061
Phone Number
608-769-6784
Fax Number
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Provider Business Mailing Address Details
Address
200 Mason St Ste 11
City
State
Zip
54650-7061
Phone Number
608-769-6784
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4346-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16360-131 (Wisconsin)
Definition
Definition to come...
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