Individual
TYLER PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5413 DAY TRIPPER DR, MADISON, WI 53718-4416
(608) 285-2493
Mailing address
5413 DAY TRIPPER DR, MADISON, WI 53718-4416
(608) 285-2493
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12368-125
WI
101YM0800X
Mental Health Counselor
Primary
7980-226
WI
Other
Enumeration date
02/07/2026
Last updated
02/16/2026
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