Individual
HEIDI ROZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC, LPC-IT
Contact information
Practice address
128 E OLIN AVE, MADISON, WI 53713-1467
(608) 252-1320
(608) 252-1333
Mailing address
128 E OLIN AVE, MADISON, WI 53713-1467
(608) 252-1320
(608) 252-1333
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5018
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16453
WI DEPARTMENT OF SAFETY & PROFESSIONAL SERVICES
WI
01
—
5018
WI DEPARTMENT OF SAFETY & PROFESSIONAL SERVICES
WI
Enumeration date
07/28/2021
Last updated
07/28/2021
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