Individual provider · Type 1 NPI
Jacqueline Patricia Niccolai, LPC
Professional Counselor · Kenosha, WI
NPI number
1093475477
Active
Practice location
7919 48th Ave Ste 200
Kenosha, WI 53142-2023
Mailing address
7919 48th Ave
Kenosha, WI 53142-2023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | TPMC6693 (FL) |
| Mental Health Counselor | 101YM0800X | 068.0136820TELE (VT) |
| Professional Counselor Primary | 101YP2500X | 10474-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1093475477
Jacqueline Patricia Niccolai, LPC's National Provider Identifier is 1093475477, issued on Dec 27, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kenosha, WI. The record was last updated on Apr 17, 2026.