person
Carissa Lyn Dietzler, LPC
Professional Counselor in Madison, Wisconsin
NPI 1124354048

Carissa Lyn Dietzler is a Professional Counselor based in Madison, WI and is specialized in Professional. Carissa Lyn Dietzler practices in Madison, WI and has the professional credentials of LPC. The NPI Number for Carissa Lyn Dietzler is 1124354048 and holds a License No. 5422 (Wisconsin).

The current practice location address for Carissa Lyn Dietzler is 6001 Research Park Blvd, Madison, WI and can be reached out via phone at 608-263-6100 and via fax at 608-262-9246.

Location: 6001 Research Park Blvd, Madison, WI, 53719-1176
person
Provider Profile Details
NPI Number
1124354048
Provider Name
Carissa Lyn Dietzler
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6001 Research Park Blvd, Madison, WI, 53719-1176
Phone Number
608-263-6100
Fax Number
608-262-9246
Provider Enumeration Date
10/28/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6001 Research Park Blvd
City
State
Zip
53719-1176
Phone Number
608-263-6100
Fax Number
608-262-9246
person
Provider Business Mailing Address Details
Address
6001 Research Park Blvd
City
State
Zip
53719-1176
Phone Number
608-263-6100
Fax Number
608-262-9246
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5422 (Wisconsin)
Definition
Definition to come...
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