| Nicole Burden Counseling Llc | |
|
8045 S Mona Dr Oak Creek WI 53154-3033 | |
| (414) 840-1583 | |
| Not Available |
| Full Name | Nicole Burden Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8045 S Mona Dr, Oak Creek, Wisconsin |
| Authorized Official Name and Position | Nicole E Burden (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4148401583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Burden Counseling Llc 8045 S Mona Dr Oak Creek WI 53154-3033 Ph: (414) 840-1583 | Nicole Burden Counseling Llc 8045 S Mona Dr Oak Creek WI 53154-3033 Ph: (414) 840-1583 |
| NPI Number | 1033936554 |
|---|---|
| Provider Enumeration Date | 09/25/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033936554 | NPI | - | NPPES |
| 11264 | Other | WI | LICENSE |
| 100231354 | Medicaid | WI |
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