Individual
MR. JAY R PELDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4011 W CAPITOL DR, 200, MILWAUKEE, WI 53216-2557
(414) 449-9908
Mailing address
4011 W CAPITOL DR, SUITE 200, MILWAUKEE, WI 53216-2557
(414) 449-9908
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2669
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39656000
—
WI
Enumeration date
08/18/2006
Last updated
05/03/2026
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