Individual
NICOLE HEISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. LPC - IT
Contact information
Practice address
115 N 6TH ST, WAUSAU, WI 54403-5519
(715) 216-9305
Mailing address
115 N 6TH ST, WAUSAU, WI 54403-5519
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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