IndividualActive
Nanette Pamonicutt
NPI 1184566739 · Addiction (Substance Use Disorder) Counselor · Gresham, WI
Provider details
- NPI number
- 1184566739
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 20597-130 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602
Phone: (715) 799-3835
Approximate (ZIP-level) locationGet directions
Mailing address
N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.