Provider Demographics
NPI:1083470512
Name:ZAREMBA, ALISIA (LPC-IT)
Entity Type:Individual
Prefix:
First Name:ALISIA
Middle Name:
Last Name:ZAREMBA
Suffix:
Gender:F
Credentials:LPC-IT
Other - Prefix:
Other - First Name:ALISIA
Other - Middle Name:
Other - Last Name:NEWPORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2445 DARWIN RD STE 15
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53704-3116
Mailing Address - Country:US
Mailing Address - Phone:608-241-4888
Mailing Address - Fax:608-241-4825
Practice Address - Street 1:2445 DARWIN RD STE 15
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53704-3116
Practice Address - Country:US
Practice Address - Phone:608-241-4888
Practice Address - Fax:608-241-4825
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5451101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional