NPI 1477583193

Henry A. Sibbing, JDMS

Practitioner Professional Counselor Lake Geneva, WI

Practice location

Address: 101 Broad St Suite 201, Lake Geneva, WI 53147-2000
Phone: (262) 248-7942

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 3570-125 (WI)

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Registry record

NPI: 1477583193
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.