Individual provider · Type 1 NPI
Cindy L. Fonseca-Shivers, LPC, LCSW
Professional Counselor · Green Bay, WI
NPI number
1700165867
Active
Practice location
1794 Allouez Ave, Suite C, Number 243
Green Bay, WI 54311-6281
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 4233-123 (WI) |
| Professional Counselor Primary | 101YP2500X | 2359-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1700165867
Cindy L. Fonseca-Shivers, LPC, LCSW's National Provider Identifier is 1700165867, issued on Aug 8, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Green Bay, WI. The record was last updated on Feb 12, 2024.