Individual
NICOLE MOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2010 EASTWOOD DR STE 300, MADISON, WI 53704-5387
(608) 509-9287
(608) 630-8089
Mailing address
2010 EASTWOOD DR STE 300, MADISON, WI 53704-5387
(608) 509-9287
(608) 630-8089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
132198-121
WI
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/18/2021
Last updated
12/04/2023
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