Individual
NICOLE M HOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
1095 MIDWAY ROAD, MENASHA, WI 54952-1115
(920) 720-2300
(920) 720-3719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16105
WI
Other
Enumeration date
05/11/2017
Last updated
06/01/2017
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