Individual
NICOLE EVE HERDEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATRL-BC
Contact information
Practice address
161 W WISCONSIN AVE, STE 2B, PEWAUKEE, WI 53072
(262) 695-8857
(262) 695-8879
Mailing address
161 W WISCONSIN AVE, STE 2B, PEWAUKEE, WI 53072
(262) 695-8857
(262) 695-8879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
90-036
WI
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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