Individual
SHERI A SEVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC NCC
Contact information
Practice address
2209 EASTERN AVE, PLYMOUTH, WI 53073-4281
(920) 892-7606
Mailing address
2209 EASTERN AVE, PLYMOUTH, WI 53073-4281
(920) 892-7606
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3482125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41004500
—
WA
Enumeration date
12/05/2006
Last updated
08/07/2022
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