Individual
NICHOLAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(715) 284-2831
(715) 284-2832
Mailing address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(715) 284-2831
(715) 284-2832
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11369
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11369
LICENSE
WI
Enumeration date
01/17/2007
Last updated
07/08/2007
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