Individual
NICOLE FLANNERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CSAC, LPC, ICS-I
Contact information
Practice address
217 WISCONSIN AVE STE 202, WAUKESHA, WI 53186-4946
(414) 301-1518
Mailing address
2206 LANDER LN, WAUKESHA, WI 53188-4612
(414) 232-7818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15975-132
WI
101YP2500X
Professional Counselor
Primary
10001-125
WI
Other
Enumeration date
03/01/2016
Last updated
01/10/2025
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