person
Ted D Izydor, LPC
Professional Counselor in Madison, Wisconsin
NPI 1275501140

Ted D Izydor is a Professional Counselor based in Madison, WI and is specialized in Professional. Ted D Izydor practices in Madison, WI and has the professional credentials of LPC. The NPI Number for Ted D Izydor is 1275501140 and holds a License No. 14034-132 (Wisconsin).

The current practice location address for Ted D Izydor is 128 E Olin Ave, Madison, WI and can be reached out via phone at 608-252-1320 and via fax at 608-252-1333.

Location: 128 E Olin Ave, Madison, WI, 53713-1467
person
Provider Profile Details
NPI Number
1275501140
Provider Name
Ted D Izydor
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
128 E Olin Ave, Madison, WI, 53713-1467
Phone Number
608-252-1320
Fax Number
608-252-1333
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275501140 05 WI
institution
Provider Business Practice Location Address Details
Address
128 E Olin Ave
City
State
Zip
53713-1467
Phone Number
608-252-1320
Fax Number
608-252-1333
person
Provider Business Mailing Address Details
Address
128 E Olin Ave
City
State
Zip
53713-1467
Phone Number
608-252-1320
Fax Number
608-252-1333
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2878 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
14034-132 (Wisconsin)
Definition
Definition to come...
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