Individual provider · Type 1 NPI

Ted D. Izydor, LPC

Professional Counselor · Madison, WI

NPI number 1275501140 Active

Practice location

128 E Olin Ave, Suite 100
Madison, WI 53713-1467

Call (608) 252-1320 Map

Fax (608) 252-1333

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X14034-132 (WI)
Professional Counselor Primary 101YP2500X2878 (WI)

Professional Counselor: Definition to come...

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About NPI 1275501140

Ted D. Izydor, LPC's National Provider Identifier is 1275501140, issued on Mar 8, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Oct 21, 2011.