Provider Demographics
NPI:1700088119
Name:NIGL, PAMELA J (LPC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:J
Last Name:NIGL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 N CENTRAL AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:RICHLAND CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:53581-2253
Mailing Address - Country:US
Mailing Address - Phone:608-649-8181
Mailing Address - Fax:
Practice Address - Street 1:165 N CENTRAL AVE
Practice Address - Street 2:STE 110
Practice Address - City:RICHLAND CENTER
Practice Address - State:WI
Practice Address - Zip Code:53581-2253
Practice Address - Country:US
Practice Address - Phone:608-649-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40968800Medicaid