Individual
NICOLE DAMROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, LPC
Contact information
Practice address
100 W LAWRENCE ST STE 320, APPLETON, WI 54911-5754
(920) 241-3498
Mailing address
100 W LAWRENCE ST STE 320, APPLETON, WI 54911-5754
(920) 241-3498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7847-125
WI
101YP2500X
Professional Counselor
Primary
7847-125
WI
Other
Enumeration date
07/18/2018
Last updated
11/04/2024
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