Individual
VICTORIA ELLINGTON-DEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2002 ATWOOD AVE, SUITE 217, MADISON, WI 53704-5368
(608) 244-4859
Mailing address
2002 ATWOOD AVE, SUITE 217, MADISON, WI 53704-5368
(608) 244-4859
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1999-226
WI
Other
Enumeration date
01/08/2014
Last updated
02/07/2014
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