Individual
NICOLE CREMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Mailing address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
(262) 652-2408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3528-226
WI
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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