Individual
NICOLE L NEUVERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
230 W PARK ST, WAUTOMA, WI 54982
(920) 787-6550
(920) 787-0421
Mailing address
PO BOX 1230, WAUTOMA, WI 54982-1230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4379-226
WI
101YP2500X
Professional Counselor
Primary
8396
WI
Other
Enumeration date
10/27/2020
Last updated
12/23/2021
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