Provider Demographics
NPI:1073992319
Name:PITZO, JENNIFER N (MS, LPC, SAC-IT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:N
Last Name:PITZO
Suffix:
Gender:F
Credentials:MS, LPC, SAC-IT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:N
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5005 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-5439
Mailing Address - Country:US
Mailing Address - Phone:608-233-2100
Mailing Address - Fax:608-233-2101
Practice Address - Street 1:5005 UNIVERSITY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-5439
Practice Address - Country:US
Practice Address - Phone:608-233-2100
Practice Address - Fax:608-233-2101
Is Sole Proprietor?:No
Enumeration Date:2015-05-20
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional