Nicole Shannon Thull
SAC-IT | Addiction (Substance Use Disorder) Counselor
1421 Fond Du Lac Ave, Kewaskum
Wisconsin, 53040-9136
262-626-4166 262-626-8431
Maps & DirectionsNicole Shannon Thull is a Kewaskum, Wisconsin based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Nicole Shannon Thull is 17291-130 for Addiction (Substance Use Disorder) Counselor in Wisconsin. Her current practice location is 1421 Fond Du Lac Ave, Kewaskum. Patients can book an appointment with her at 262-626-4166.
Nicole Shannon Thull is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Nicole Shannon Thull speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Nicole Shannon Thull |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Credentials: | SAC-IT |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1421 Fond Du Lac Ave, Kewaskum,
Wisconsin, 53040-9136 |
| Phone: | 262-626-4166 |
| Fax: | 262-626-8431 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1669962825 |
| NPI Enumeration Date: | 14 May, 2018 |
| NPI Last Update On: | 14 May, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicole Shannon Thull are as mentioned below.
| License Number | Specialization | State | Status | |
| 17291-130 | Addiction (Substance Use Disorder) Counselor | Wisconsin | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9349 Windy Acres Dr,
Kewaskum, Wisconsin |
| Zip: | 53040-9742 |
| Phone Number: | 262-483-4870 |
Patients can reach Nicole Shannon Thull at
1421 Fond Du Lac Ave, Kewaskum, Wisconsin or can
call to book an appointment on 262-626-4166.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.