Individual
NICOLE MARIE VANNIEUWENHOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
5024 POTTERS XING, PULASKI, WI 54162-9812
(715) 509-0422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6205-125
WI
Other
Enumeration date
03/09/2021
Last updated
01/26/2024
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