Individual provider · Type 1 NPI

Carissa Lyn Dietzler, LPC

Professional Counselor · Madison, WI

NPI number 1124354048 Active

Practice location

6001 Research Park Blvd
Madison, WI 53719-1176

Fax (608) 262-9246

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X5422 (WI)

Professional Counselor: Definition to come...

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About NPI 1124354048

Carissa Lyn Dietzler, LPC's National Provider Identifier is 1124354048, issued on Oct 28, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Feb 23, 2017.