Individual
NICOLE R LAURITZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-T
Contact information
Practice address
811 HARDING ST, WAUPACA, WI 54981-2012
(715) 258-6388
(715) 258-6409
Mailing address
811 HARDING ST, WAUPACA, WI 54981-2012
(715) 258-6388
(715) 258-6409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3974-226
WI
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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