Individual
NICHOLAS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
LPC
Contact information
Practice address
200 E VERONA AVE # 1075, VERONA, WI 53593-1223
(608) 891-1526
Mailing address
200 E VERONA AVE # 1075, VERONA, WI 53593-1223
(608) 891-1526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12277-125
WI
101YP2500X
Professional Counselor
12277-125
WI
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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