Individual provider · Type 1 NPI

Alicia Renee Cannizzo

Mental Health Counselor · Madison, WI

NPI number 1639063472 Active

Practice location

307 S Paterson St Ste 120
Madison, WI 53703-3517

Call (608) 501-1629 Map

Mailing address

1325 Morrison St Apt 2W
Madison, WI 53703-3870

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X853-226 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1639063472

Alicia Renee Cannizzo's National Provider Identifier is 1639063472, issued on Jun 5, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Jun 23, 2025.