Individual provider · Type 1 NPI

Tina Staszak, LPC-IT

Professional Counselor · Glendale, WI

NPI number 1962946095 Active

Practice location

5235 N Ironwood Rd
Glendale, WI 53217-4906

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X7063-125 (WI)
Addiction (Substance Use Disorder) Counselor 101YA0400X17478-130 (WI)

Professional Counselor: Definition to come...

8 other providers at this address

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About NPI 1962946095

Tina Staszak, LPC-IT's National Provider Identifier is 1962946095, issued on Dec 8, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glendale, WI. The record was last updated on Apr 28, 2026.