Nichole L Godin, SAC-IT - Counselor in Appleton, WI

Nichole L Godin, SAC-IT is a Counselor - Addiction (substance Use Disorder) based in Appleton, Wisconsin. Nichole L Godin is licensed to practice in Wisconsin (license number 20090-130) and her current practice location is 3301 N Ballard Rd, Appleton, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 733-4443.

NPI number for Nichole L Godin is 1366130668 and her current mailing address is 3301 N Ballard Rd, Appleton, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366130668.

Contact Information

Nichole L Godin, SAC-IT
3301 N Ballard Rd,
Appleton, WI 54911-8928
(920) 733-4443
Not Available

Healthcare Provider's Profile

Full NameNichole L Godin
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3301 N Ballard Rd, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366130668
  • Provider Enumeration Date: 04/26/2023
  • Last Update Date: 04/26/2023

Medical Identifiers

Medical identifiers for Nichole L Godin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366130668NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 20090-130 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole L Godin is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nichole L Godin, SAC-IT
3301 N Ballard Rd,
Appleton, WI 54911-8928

Ph: (920) 733-4443
Nichole L Godin, SAC-IT
3301 N Ballard Rd,
Appleton, WI 54911-8928

Ph: (920) 733-4443

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Counselor in Appleton, WI

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Pablo E Serna,
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