Provider Demographics
NPI:1124465216
Name:SALTZMAN, RENEE (LPC, RDT)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SALTZMAN
Suffix:
Gender:F
Credentials:LPC, RDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6516 MONONA DR # 309
Mailing Address - Street 2:
Mailing Address - City:MONONA
Mailing Address - State:WI
Mailing Address - Zip Code:53716-4026
Mailing Address - Country:US
Mailing Address - Phone:608-618-4727
Mailing Address - Fax:608-721-5898
Practice Address - Street 1:6516 MONONA DR # 309
Practice Address - Street 2:
Practice Address - City:MONONA
Practice Address - State:WI
Practice Address - Zip Code:53716-4026
Practice Address - Country:US
Practice Address - Phone:608-618-4727
Practice Address - Fax:608-721-5898
Is Sole Proprietor?:No
Enumeration Date:2013-05-29
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36-2709982101YM0800X
WI6233101YP2500X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional