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Individual
THOMAS P. NIEBUR
Active
Individual
THOMAS P. NIEBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LMFT, CSAT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180001431
—
106H00000X
Marriage & Family Therapist
166000183
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05732028
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/25/2006
Last updated
10/27/2015
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