Individual
STACEY SIEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 N JACKSON ST, MILWAUKEE, WI 53202-2602
(414) 390-5800
(414) 390-5808
Mailing address
1300 N JACKSON ST, MILWAUKEE, WI 53202-2602
(414) 390-5800
(414) 390-5808
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1538-226
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538-226
WI DSPS
—
Enumeration date
06/03/2013
Last updated
06/03/2013
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