Individual
ISABELLA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3511
(608) 221-3514
Mailing address
1716 FORDEM AVE, MADISON, WI 53704-4604
(608) 221-3514
(608) 221-3514
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9132226
WI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
07/17/2026
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