person
Mrs. Pamela Jane Nikodem, LPC-T,SAC-T
Professional Counselor in Green Bay, Wisconsin
NPI 1952069866

Pamela Jane Nikodem is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Pamela Jane Nikodem practices in Green Bay, WI and has the professional credentials of LPC-T,SAC-T. The NPI Number for Pamela Jane Nikodem is 1952069866 and holds a License No. 19515-130 (Wisconsin).

The current practice location address for Pamela Jane Nikodem is 2920 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-404-4638 and via fax at 920-632-4315.

Location: 2920 S Webster Ave, Green Bay, WI, 54301-1594
person
Provider Profile Details
NPI Number
1952069866
Provider Name
Pamela Jane Nikodem
Credential
LPC-T,SAC-T
Provider Entity Type
Individual
Gender
Female
Address
2920 S Webster Ave, Green Bay, WI, 54301-1594
Phone Number
920-404-4638
Fax Number
920-632-4315
Provider Enumeration Date
12/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2920 S Webster Ave
City
State
Zip
54301-1594
Phone Number
920-404-4638
Fax Number
920-632-4315
person
Provider Business Mailing Address Details
Address
2920 S Webster Ave
City
State
Zip
54301-1594
Phone Number
920-404-4638
Fax Number
920-632-4315
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5078-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19515-130 (Wisconsin)
Definition
Definition to come...
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