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Individual

MANUEL CERDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC-IT, SAC-IT

Contact information

Practice address
2701 INTERNATIONAL LN STE 201, MADISON, WI 53704-3126
(608) 719-0170
(608) 709-1744
Mailing address
815 FORWARD DR, MADISON, WI 53711
(608) 268-6530
(608) 709-1744

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20391
WI
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/22/2022
Last updated
02/19/2025
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