Individual
SHANNON MARIE SEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
25958 474TH ST, LAPORTE, MN 56461-4870
(218) 407-0596
Mailing address
25958 474TH ST, LAPORTE, MN 56461-4870
(218) 407-0596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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