Individual
NICHOLE LYNN BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
3416 N ASSOCIATION DR, APPLETON, WI 54914-1479
(920) 364-9078
Mailing address
2120 S BROADWAY APT 8, DE PERE, WI 54115-2477
(303) 358-1732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3316-226
WI
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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