Individual provider · Type 1 NPI

Marie D. Ibarra Stafford, LPC

Mental Health Counselor · De Pere, WI

NPI number 1043763956 Active

Practice location

3860 Monroe Rd
De Pere, WI 54115-8399

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6156-125 (WI)
Professional Counselor 101YP2500X6156-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1043763956

Marie D. Ibarra Stafford, LPC's National Provider Identifier is 1043763956, issued on Jul 27, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in De Pere, WI. The record was last updated on Mar 14, 2024.