Individual
JULIA K NIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CADC III
Contact information
Practice address
2209 EASTERN AVE, PLYMOUTH, WI 53073-4281
(920) 892-7606
(920) 449-4247
Mailing address
2209 EASTERN AVE, PLYMOUTH, WI 53073-4281
(920) 892-7606
(920) 449-4247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2322
WI
101YM0800X
Mental Health Counselor
3459-125
WI
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13648
NETWORK HEALTH PLAN
—
01
—
390806395
CIGNA
—
05
—
3978990
—
WI
Enumeration date
07/16/2006
Last updated
05/02/2023
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