Individual
NICOLE DRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT, SAC
Contact information
Practice address
727 8TH ST, BARABOO, WI 53913-1794
(608) 566-7811
Mailing address
727 8TH ST, BARABOO, WI 53913-1794
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16235-131
WI
101YP2500X
Professional Counselor
Primary
3753-226
WI
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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