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Mary L Seubert, LPC,CSAC
Professional Counselor in Coloma, Wisconsin
NPI 1962530170

Mary L Seubert is a Professional Counselor based in Coloma, WI and is specialized in Professional. Mary L Seubert practices in Coloma, WI and has the professional credentials of LPC,CSAC. The NPI Number for Mary L Seubert is 1962530170 and holds a License No. 1308 (Wisconsin).

The current practice location address for Mary L Seubert is 1519 3Rd Ave, Coloma, WI and can be reached out via phone at 920-647-6679.

Location: 1519 3Rd Ave, Coloma, WI, 54930-9406
person
Provider Profile Details
NPI Number
1962530170
Provider Name
Mary L Seubert
Credential
LPC,CSAC
Provider Entity Type
Individual
Gender
Female
Address
1519 3Rd Ave, Coloma, WI, 54930-9406
Phone Number
920-647-6679
Fax Number
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4555-125 01 WI STATE LICENSE
1308-132 01 WI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1519 3Rd Ave
City
State
Zip
54930-9406
Phone Number
920-647-6679
Fax Number
person
Provider Business Mailing Address Details
Address
1519 3Rd Ave
City
State
Zip
54930-9406
Phone Number
920-647-6679
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4555-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1308 (Wisconsin)
Definition
Definition to come...
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