SearchWisconsinProfessional Counselor

Edward Jedlicka, MS, LPC

NPI 1467737346 · on the registry since 2011

Practice

Address
40 Camelot Dr
Fond Du Lac, WI 54935
Phone
(920) 907-8201
Fax
(920) 907-8209
Organisation at this address
Agnesian Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Additional practice sites

  • 371 E 1st St, Fond Du Lac, WI

Registry record

Primary taxonomy
Professional Counselor
101YP2500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin