Individual
KELLY J TOLTZIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATR, LPC
Contact information
Practice address
700 RAY O VAC DR STE 320, MADISON, WI 53711-2471
(608) 520-0846
Mailing address
700 RAY O VAC DR STE 320, MADISON, WI 53711-2471
(608) 520-0846
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
6990-125
WI
221700000X
Art Therapist
—
—
Other
Enumeration date
01/10/2019
Last updated
11/07/2022
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