Individual
TINA GRAY-SIEBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
W4711 CASTLE DR, SHERWOOD, WI 54169-9681
(920) 287-0406
(920) 287-0410
Mailing address
W4711 CASTLE DR, SHERWOOD, WI 54169-9681
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7053-125
WI
Other
Enumeration date
09/29/2018
Last updated
03/29/2024
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