Individual
NICOLE LYNN KULIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC, CSIT
Contact information
Practice address
325 SENTINEL DR, WAUKESHA, WI 53189-7551
(262) 549-9449
(262) 549-6771
Mailing address
325 SENTINEL DR, WAUKESHA, WI 53189-7551
(262) 594-9449
(262) 549-6771
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15688-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15754-132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15688-131
STATE
WI
Enumeration date
08/17/2011
Last updated
02/10/2021
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