Individual
MARIE D. IBARRA STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3860 MONROE RD, DE PERE, WI 54115-8399
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6156-125
WI
101YP2500X
Professional Counselor
6156-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100058688
—
WI
Enumeration date
07/27/2016
Last updated
03/14/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us