Nicklaus Counseling Center Sc | |
1557 Cleveland Ave Marinette WI 54143-3920 | |
(715) 732-6868 | |
(715) 732-6866 |
Full Name | Nicklaus Counseling Center Sc |
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Speciality | Counselor |
Location | 1557 Cleveland Ave, Marinette, Wisconsin |
Authorized Official Name and Position | Christine Nicklaus (OWNER) |
Authorized Official Contact | 7157326868 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Nicklaus Counseling Center Sc 1557 Cleveland Ave Marinette WI 54143-3920 Ph: (715) 732-6868 | Nicklaus Counseling Center Sc 1557 Cleveland Ave Marinette WI 54143-3920 Ph: (715) 732-6868 |
NPI Number | 1033659271 |
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Provider Enumeration Date | 03/07/2017 |
Last Update Date | 06/20/2024 |
Certification Date | 06/20/2024 |
Medicare PECOS PAC ID | 7618411315 |
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Medicare Enrollment ID | O20240705001922 |
Identifier | Type | State | Issuer |
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1033659271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 2992-226 (Wisconsin) | Primary |
Provider Name | Debra A Mullen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770660342 PECOS PAC ID: 5991987745 Enrollment ID: I20110315000776 |
Aurora Bay Area Medical Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3003 University Dr, Marinette, WI 54143 Phone: 715-735-1737 Fax: 715-735-1794 | |
Cornerstone Christian Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3110 Gilbert St, Suite A, Marinette, WI 54143 Phone: 715-923-8105 |