Individual
MRS. CHARITY ANN NIKOLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
901 N 6TH ST, WAUSAU, WI 54403-4718
(715) 848-5022
(888) 778-6750
Mailing address
D3305 BANGART RD, STRATFORD, WI 54484-9201
(715) 486-1216
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3727-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43701100
—
WI
Enumeration date
02/01/2007
Last updated
11/28/2016
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