Provider Demographics
NPI:1114447414
Name:LEMEROND, NICOLE A (LPC-IT)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:A
Last Name:LEMEROND
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:A
Other - Last Name:SEHMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:424 E LONGVIEW DR.
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911
Mailing Address - Country:US
Mailing Address - Phone:920-234-9240
Mailing Address - Fax:920-364-6096
Practice Address - Street 1:3301B PACKERLAND DR.
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115
Practice Address - Country:US
Practice Address - Phone:920-364-6089
Practice Address - Fax:920-364-6096
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3562-226101YP2500X
WI7357-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional