Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE SHANNON THULL, SAC-IT
ActiveNICOLE SHANNON THULL, SAC-IT is a Addiction (Substance Use Disorder) Counselor healthcare provider located in KEWASKUM, Wisconsin. NPI 1669962825 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · KEWASKUM, WI
Registration Details
- NPI Number
- 1669962825
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 14, 2018 (8.263227181492 yrs)
- Last Updated
- May 14, 2018
- License
-
17291-130 (WI)
Practice Information
- Address
-
1421 FOND DU LAC AVEKEWASKUM, WI, 530409136Browse WI providers · Browse ZIP 53040
- Phone
- 2626264166
- Fax
- 2626268431
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in KEWASKUM, WI
| Name | Credential | NPI |
|---|---|---|
| CHERYL ELIZABETH COLWIN | SAC-IT/PLC-IT | 1619219532 |
| BRITNEY MAE O'BRIEN | SACIT | 1811780794 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.