Nicole Moll
Nicole Moll is a Mental Health Counselor in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.
- Licensed in
- WI
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
2010 Eastwood Dr Ste 300Madison, WI 53704-5387
Phone: (608) 509-9287
Fax: (608) 630-8089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 132198-121 (WI) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
Record details
| NPI number | 1578239851 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 18, 2021 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 4, 2023 |
| Mailing address | 2010 Eastwood Dr Ste 300, Madison, WI 53704-5387 |
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