Individual
JUSTINE MARIE GARBACIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
301 N BROADWAY STE 110, DE PERE, WI 54115-2571
(920) 370-7167
Mailing address
3454 ELMTREE RD, SUAMICO, WI 54313-8339
(920) 639-1032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3839
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43710000
—
WI
Enumeration date
12/26/2006
Last updated
11/12/2022
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