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Individual
MRS. MARTHA (MARTI) A. WIBBELS
Active
Individual
MRS. MARTHA (MARTI) A. WIBBELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 9377
FL
101YM0800X
Mental Health Counselor
MH9377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
426109001
UNITED
FL
01
—
OL4VT
BLUECROSS BLUESHIELD OF FLORIDA
FL
01
—
Z162Q
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/01/2009
Last updated
03/21/2018
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