Individual
JENNIFER MARIE CARLSON
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
Mailing address
4146 CHEROKEE DR, MADISON, WI 53711-3031
(917) 386-7437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
WI
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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