Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Pamela Jane Nikodem, LPC, SAC-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1952069866

Mrs. Pamela Jane Nikodem, LPC, SAC-T is an Addiction (Substance Use Disorder) Counselor in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

812 S Fisk St Ste 103104
Green Bay, WI 54304-2269
Phone: (920) 404-4638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 11238-125 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19515-130 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 5078-226 (WI)

Record details

NPI number1952069866
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , SAC-T
Sole proprietorYes
NPI enumeratedDecember 8, 2021
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024

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