MR. Michael R Nicholson, CSAC CSIT
NPI #1619101847 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1619101847
- Entity Type
- Individual
- Name
- MR. Michael R Nicholson, CSAC CSIT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CSAC CSIT
- Enumeration Date
- May 1, 2009
- Last Updated
- Apr 26, 2016
Practice Location
- Address
- 10940 W FOREST HOME AVE
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-2516
- Phone
- (262) 278-4462
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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