Individual
ANN M OLDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CSAC
Contact information
Practice address
1102 S PARK ST STE 400, MADISON, WI 53715-1708
(608) 282-8270
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
17341-130
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
16049-131
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16304-132
WI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
7091-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265895387
BCBSWI
WI
05
—
1265895387
—
WI
01
—
703646
MERCYCARE INSURANCE
WI
Enumeration date
04/05/2016
Last updated
10/03/2024
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