Individual provider · Type 1 NPI

Stacey Mae Kubisiak Thome, MS, LPC-IT

Professional Counselor · Wisconsin Rapids, WI

NPI number 1508392622 Active

Practice location

3930 8th St S Ste 101
Wisconsin Rapids, WI 54494-6511

Call (715) 423-2030 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3370-226 (WI)

Professional Counselor: Definition to come...

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About NPI 1508392622

Stacey Mae Kubisiak Thome, MS, LPC-IT's National Provider Identifier is 1508392622, issued on May 10, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wisconsin Rapids, WI. The record was last updated on May 10, 2017.