Individual
MISS NICHOLE ALISA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC SACIT
Contact information
Practice address
25 KESSEL CT, SUITE 105, MADISON, WI 53711-6227
(978) 810-1580
Mailing address
25 KESSEL CT, SUITE 105, MADISON, WI 53711-6227
(978) 810-1580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5096-125
WI
Other
Enumeration date
09/08/2009
Last updated
08/31/2016
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