Search › Wisconsin › Addiction (Substance Use Disorder) Counselor
Nicole Thull, SAC-IT
NPI 1669962825 · on the registry since 2018
Practice
- Address
- 1421 Fond Du Lac Ave
Kewaskum, WI 53040 - Phone
- (262) 626-4166
- Fax
- (262) 626-8431
- Organisation at this address
- Exodus Transitional Care Facility Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
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
- Female
- Record last updated
- 2018-05-14
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