Individual
NICOLE ASHLEY CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
212 W AMELIA ST, CASSVILLE, WI 53806-9774
(872) 400-1106
Mailing address
212 W AMELIA ST, CASSVILLE, WI 53806-9774
(872) 400-1106
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
6401226030
MI
101YM0800X
Mental Health Counselor
MC61482224
WA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401226030
MI
101YP2500X
Professional Counselor
CTB-2026-029
NM
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
05/08/2023
Last updated
05/06/2026
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