Individual
NICOLE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 VETERANS PKWY UNIT 100, LAKE GENEVA, WI 53147-4950
(262) 248-7942
Mailing address
750 VETERANS PKWY UNIT 100, LAKE GENEVA, WI 53147-4950
(262) 248-7942
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7894-226
WI
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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