Provider Demographics
NPI:1811679517
Name:PRZYBELSKI, ATALIE (LPC)
Entity type:Individual
Prefix:
First Name:ATALIE
Middle Name:
Last Name:PRZYBELSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ATALIE
Other - Middle Name:
Other - Last Name:HAGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4915 MONONA DR STE 109
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-2673
Mailing Address - Country:US
Mailing Address - Phone:608-698-4525
Mailing Address - Fax:608-807-1299
Practice Address - Street 1:4915 MONONA DR STE 109
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-2673
Practice Address - Country:US
Practice Address - Phone:608-698-4525
Practice Address - Fax:608-807-1299
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4876-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional