Individual
MISS NICOLE MARIE WITEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Mailing address
459 E 1ST ST, FOND DU LAC, WI 54935-4505
(920) 929-3500
(920) 929-3129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20243-130
WI
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/12/2017
Last updated
10/27/2025
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