Individual
NANCY GUADAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6123 GREEN BAY RD STE 240, KENOSHA, WI 53142-2927
(262) 564-5305
(262) 564-5306
Mailing address
6123 GREEN BAY RD STE 240, KENOSHA, WI 53142-2927
(262) 564-5305
(262) 564-5306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16625-30
WI
101YM0800X
Mental Health Counselor
Primary
7989-123
WI
1041C0700X
Clinical Social Worker
7989-123
WI
Other
Enumeration date
03/14/2014
Last updated
10/08/2019
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