person
Marie D. Ibarra Stafford, LPC
Professional Counselor in De Pere, Wisconsin
NPI 1043763956

Marie D. Ibarra Stafford is a Professional Counselor based in Green Bay, WI and is specialized in Professional. Marie D. Ibarra Stafford practices in De Pere, WI and has the professional credentials of LPC. The NPI Number for Marie D. Ibarra Stafford is 1043763956 and holds a License No. 6156-125 (Wisconsin).

The current practice location address for Marie D. Ibarra Stafford is 3860 Monroe Rd, De Pere, WI and can be reached out via phone at 920-496-4700.

Location: 3860 Monroe Rd, De Pere, WI, 54307-9070
person
Provider Profile Details
NPI Number
1043763956
Provider Name
Marie D. Ibarra Stafford
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
3860 Monroe Rd, De Pere, WI, 54307-9070
Phone Number
920-496-4700
Fax Number
Provider Enumeration Date
07/27/2016
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100058688 05 WI
institution
Provider Business Practice Location Address Details
Address
3860 Monroe Rd
City
State
Zip
54115-8399
Phone Number
920-496-4700
Fax Number
person
Provider Business Mailing Address Details
Address
3860 Monroe Rd
City
State
Zip
54115-8399
Phone Number
920-496-4700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6156-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6156-125 (Wisconsin)
Definition
Definition to come...
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