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Individual

MR. JEFFREY CZEBOTAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, SAC

Contact information

Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 282-8270
Mailing address
5811 WILLIAMSBURG WAY, FITCHBURG, WI 53719-1519

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15154-131
WI
101YP2500X
Professional Counselor
Primary
3682-125
WI

Other

Enumeration date
06/20/2007
Last updated
02/03/2015
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