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Individual

NICOLE C HOLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LPC-IT

Contact information

Practice address
1221 INNOVATION DR STE 221, WHITEWATER, WI 53190-1483
(262) 473-0670
(608) 268-9780
Mailing address
PO BOX 301, PORTAGE, WI 53901-0301
(608) 742-5518
(608) 742-4087

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7101
WI

Other

Enumeration date
09/08/2022
Last updated
09/08/2022
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