Mr. Michael R Nicholson, CSACCSIT
Mr. Michael R Nicholson, CSACCSIT is a Mental Health Counselor in Hales Corners, Wisconsin. Qualified in 2015, 11 years ago. Offers telehealth. Licensed in Wisconsin.
- Years since qualifying
- 11
- Licensed in
- WI
- In the registry since
- 2009
Practice location Address checks out
10940 W Forest Home AveHales Corners, WI 53130-2516
Phone: (262) 278-4462
Fax: (815) 387-2569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 15466-132 (WI) |
|---|
Record details
| NPI number | 1619101847 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CSACCSIT |
| Sole proprietor | No |
| NPI enumerated | May 1, 2009 |
| Last updated in NPPES | April 26, 2016 |
| Mailing address | 1021 N Mulford Rd, Rockford, IL 61107-3877 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
Other providers in Hales Corners
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Mr. Andrwew John Collura, SAC-IT
9415 W Forest Home Ave Ste 108, Hales Corners, WI 53130-1680 · (414) 427-4884
-
Bridget Price
9415 W Forest Home Ave Ste 108, Hales Corners, WI 53130-1680 · (414) 427-4884
-
MS. Julie Ann Roth, SACIT
9415 W Forest Home Ave Ste 108, Hales Corners, WI 53130-1680 · (414) 427-4884
-
Charlie Schrauth, CADCIII
9415 W Forest Home Ave Ste #108, Hales Corners, WI 53130-1680 · (414) 427-4884
-
Ann K Sherren, BA, SAC-IT
9415 W Forest Home Ave #1, Hales Corners, WI 53130-1680 · (414) 427-4884