Search › Wisconsin › Addiction (Substance Use Disorder) Counselor
Michael Nicholson, CSAC CSIT
NPI 1619101847 · on the registry since 2009
Practice
- Address
- 10940 W Forest Home Ave
Hales Corners, WI 53130 - Phone
- (262) 278-4462
- Fax
- (815) 387-2569
Registry record
- Primary taxonomy
- Addiction (Substance Use Disorder) Counselor
101YA0400X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin