Individual provider · Type 1 NPI
Theresa Joy Ditlow, LPC
Professional Counselor · Madison, WI
NPI number
1831526219
Active
Practice location
128 E Olin Ave
Madison, WI 53713
Mailing address
128 E. Olin
Madison, WI 53713-1569
Other practice locations
- 515 22nd Ave, Monroe, WI 53566-1569 · (608) 324-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5019-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1831526219
Theresa Joy Ditlow, LPC's National Provider Identifier is 1831526219, issued on Oct 1, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Jul 17, 2018.