Individual
MRS. NICHOLE SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CADC, MAC
Contact information
Practice address
25242 COLLIGAN ST, MANHATTAN, IL 60442-1415
(708) 475-3804
Mailing address
25242 COLLIGAN ST, MANHATTAN, IL 60442-1415
(708) 475-3804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
154469
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
31778
IL
104100000X
Social Worker
Primary
150110612
IL
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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