Individual
MS. NICOLLE MADISON MUSKEVITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, SAC-IT
Contact information
Practice address
121 S WISCONSIN ST, ELKHORN, WI 53121-1740
(920) 419-6480
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(920) 419-6480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
797859
WI
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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