person
Tina Staszak, LPC-IT
Addiction (Substance Use Disorder) Counselor in Glendale, Wisconsin
NPI 1962946095

Tina Staszak is an Addiction (Substance Use Disorder) Counselor based in Glendale, WI and is specialized in Addiction (Substance Use Disorder). Tina Staszak practices in Glendale, WI and has the professional credentials of LPC-IT. The NPI Number for Tina Staszak is 1962946095 and holds a License No. 3348-226 (Wisconsin).

The current practice location address for Tina Staszak is 5235 N Ironwood Rd, Glendale, WI and can be reached out via phone at 414-902-1519. You can also correspond with Tina Staszak through the mailing address at 5235 N IRONWOOD RD, GLENDALE, WI - 53217-4906 (mailing address contact number: 414-902-1519).

Location: 5235 N Ironwood Rd, Glendale, WI, 53217-4906
person
Provider Profile Details
NPI Number
1962946095
Provider Name
Tina Staszak
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
5235 N Ironwood Rd, Glendale, WI, 53217-4906
Phone Number
414-902-1519
Fax Number
Provider Enumeration Date
12/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5235 N Ironwood Rd
City
State
Zip
53217-4906
Phone Number
414-902-1519
Fax Number
person
Provider Business Mailing Address Details
Address
5235 N Ironwood Rd
City
State
Zip
53217-4906
Phone Number
414-902-1519
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
17478-130 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3348-226 (Wisconsin)
Definition
Definition to come...
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