Individual
SHEM M BIEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
2520 N WAUWATOSA AVE, WAUWATOSA, WI 53213-1135
(800) 438-1772
(262) 345-5562
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-4799
(800) 438-1772
(262) 345-5562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19254-130
WI
101YP2500X
Professional Counselor
4759-226
WI
101YP2500X
Professional Counselor
Primary
8712-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138541
—
WI
Enumeration date
08/19/2020
Last updated
08/30/2022
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