MICHAEL R NICHOLSON

HALES CORNERS, WI
NPI1619101847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15466-132)
Enumeration Date2009-05-01
Last Update Date2016-04-26
Business Address
Mr. MICHAEL R NICHOLSON CSAC CSIT
10940 W FOREST HOME AVE
HALES CORNERS, WI 53130-2516
Phone number: 262-278-4462
Mailing Address
Mr. MICHAEL R NICHOLSON CSAC CSIT
1021 N MULFORD RD
ROCKFORD, IL 61107-3877
Phone number: 815-391-5600
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