Individual
NICHOLAUS P LAFONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Mailing address
631 FOREST ST, WAUSAU, WI 54403-5524
(715) 842-0944
(715) 845-6477
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6168-125
WI
Other
Enumeration date
12/10/2012
Last updated
08/04/2016
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