Individual
MR. NICHOLAS DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., M.A., SACIT
Contact information
Practice address
1177 QUAIL CT, SUITE 203, PEWAUKEE, WI 53072-3790
(262) 691-2980
(262) 691-4966
Mailing address
3815 N BROOKFIELD RD, SUITE 104-141, BROOKFIELD, WI 53045-1964
(866) 305-9818
(262) 691-4966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16137-131
WI
Other
Enumeration date
03/29/2011
Last updated
04/07/2017
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