Individual
NAKITA DOMINIQUE CLEVELAND HICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5555 N PORT WASHINGTON RD STE 200, GLENDALE, WI 53217-4927
(262) 999-3495
Mailing address
2909 N 52ND ST, MILWAUKEE, WI 53210-1610
(414) 460-8716
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10085-125
WI
Other
Enumeration date
01/14/2025
Last updated
02/24/2025
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