Individual provider · Type 1 NPI

Justin Mistretta, LPC

Professional Counselor · Madison, WI

NPI number 1346858792 Active

Practice location

7617 Mineral Point Rd Ste 300
Madison, WI 53717-1623

Fax (608) 833-9691

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7849 (WI)

Professional Counselor: Definition to come...

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About NPI 1346858792

Justin Mistretta, LPC's National Provider Identifier is 1346858792, issued on Jul 21, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Jul 21, 2020.