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Individual

MR. JONATHAN NOLTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, APSW, SAC-IT

Contact information

Practice address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
Mailing address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
(262) 928-5096

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16600-130
WI
1041C0700X
Clinical Social Worker
Primary
128849-121
WI

Other

Enumeration date
06/16/2014
Last updated
06/16/2014
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