Most Relevant Information
Provider Data
| NPI Number: | 1003636556 |
| Provider Name: | NICOLE CATHERINE WISWELL LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 11272-125 |
Most Important Dates
| Enumeration Date: | 10/10/2024 |
| Last Updated: | 10/10/2024 |
Provider Practice Location
7633 GANSER WAY STE 204
MADISON
WI
537192092
Practice Location Phone/Fax
| Phone: | 6088291800 |
| Fax: |
Provider Mailing Location
2893 MICKELSON PKWY APT 106
FITCHBURG
WI
537116475
Provider Mailing Phone/Fax
| Phone: | 2624739821 |
| Fax: |