Individual
NICOLE WALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-IT
Contact information
Practice address
1499 SIXTH STREET, GREEN BAY, WI 54304-2252
(920) 497-6161
(920) 468-0476
Mailing address
1499 SIXTH STREET, GREEN BAY, WI 54304-2252
(920) 497-6161
(920) 468-0476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
11/08/2021
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