Individual
ASHLEY NICOLE WIDMAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, CSAC
Contact information
Practice address
777 NORTH JEFFERSON STREET, SUITE 408 #1184, MILWAUKEE, WI 53202
(414) 710-5848
Mailing address
777 NORTH JEFFERSON STREET, SUITE 408 #1184, MILWAUKEE, WI 53202
(414) 710-5848
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15547-132
WI
101YM0800X
Mental Health Counselor
Primary
4772-125
WI
Other
Enumeration date
02/21/2009
Last updated
08/04/2025
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