Individual
MRS. NICOLE ANGELA CROUNSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC, LPC, ICS
Contact information
Practice address
2445 DARWIN RD STE 101, MADISON, WI 53704-3116
(608) 658-7361
Mailing address
1224 SCENIC RIDGE DR, VERONA, WI 53593-2265
(608) 658-7361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15283
WI
101YM0800X
Mental Health Counselor
Primary
5884
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42025400
—
WI
Enumeration date
05/10/2007
Last updated
03/17/2018
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