Individual
NICOLE CHEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8104
Mailing address
121 W MAIN ST, PORT WASHINGTON, WI 53074-1813
(262) 284-8200
(262) 284-8104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3238-125
WI
104100000X
Social Worker
6542-120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40932300
—
WI
Enumeration date
07/26/2006
Last updated
12/16/2021
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