Individual
NICKOLAS DANIEL FENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC- IT
Contact information
Practice address
522 GATEWAY AVE STE F, MAUSTON, WI 53948-1450
(608) 377-3864
(608) 716-3155
Mailing address
522 GATEWAY AVE STE F, MAUSTON, WI 53948-1450
(608) 377-3864
(608) 716-3155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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