Provider Demographics
NPI:1477681120
Name:NEHRING, TERI M (MSE,LPC, CSAC, ICS)
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:M
Last Name:NEHRING
Suffix:
Gender:F
Credentials:MSE,LPC, CSAC, ICS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5497 W WATERFORD LN STE A
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913-8489
Mailing Address - Country:US
Mailing Address - Phone:920-215-1033
Mailing Address - Fax:
Practice Address - Street 1:5497 W WATERFORD LN STE A
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54913-8489
Practice Address - Country:US
Practice Address - Phone:920-215-1033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI14309-132101YA0400X
WI3850-125101YM0800X
WI14309101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)