Individual provider · Type 1 NPI
Mary L. Seubert, LPC, CSAC
Professional Counselor · Coloma, WI
NPI number
1962530170
Active
Practice location
1519 3rd Ave
Coloma, WI 54930-9406
Other practice locations
- 230 W Park St, Wautoma, WI 54982-9031 · (920) 787-6550
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1308 (WI) |
| Professional Counselor Primary | 101YP2500X | 4555-125 (WI) |
Professional Counselor: Definition to come...
About NPI 1962530170
Mary L. Seubert, LPC, CSAC's National Provider Identifier is 1962530170, issued on Mar 1, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coloma, WI. The record was last updated on Jan 8, 2019.