Individual
TIFFANY ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT, SAC-IT
Contact information
Practice address
810 W OLIN AVE, MADISON, WI 53715-2142
(608) 255-2955
(608) 255-0340
Mailing address
3740 ORIN RD, MADISON, WI 53704-3643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1774
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215375472
—
WI
05
—
1407100514
—
WI
Enumeration date
02/23/2017
Last updated
03/17/2018
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