Individual
SAMANTHA TETZLAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
211 S PATERSON ST STE 370, MADISON, WI 53703-4501
(608) 535-1095
Mailing address
211 S PATERSON ST STE 370, MADISON, WI 53703-4501
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8199-125
WI
101YP2500X
Professional Counselor
Primary
8199-125
WI
Other
Enumeration date
01/07/2019
Last updated
01/28/2026
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