Jacqueline Niccolai's National Provider Identifier (NPI) Details
Jacqueline Niccolai, LPC
NPI: 1093475477
Enumeration Date: 2021-12-27
Last updated: 2024-12-30
Sole Proprietor: YES
Status: active
Postal Address: 7919 48TH AVE, KENOSHA, WI
Phone: 602-565-6662
Primary Practice Address: 6121 GREENBAY RD, SUITE 200, KENOSHA, WI
Practice's phone: 262-694-3718