Nicole Gilliam, SAC-IT, LPC-IT
Nicole Gilliam, SAC-IT, LPC-IT is an Addiction (Substance Use Disorder) Counselor in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.
- Licensed in
- WI
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
3825 39th Ave Ste 120Kenosha, WI 53144-2043
Phone: (262) 946-5752
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 20912 (WI) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 8673 (WI) |
Record details
| NPI number | 1487527156 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SAC-IT , LPC-IT |
| Sole proprietor | No |
| NPI enumerated | September 27, 2025 |
| Last updated in NPPES | October 8, 2025 |
| Certification date | October 8, 2025 |
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