Individual
HENRY A. SIBBING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
J.D., M.S.
Contact information
Practice address
101 BROAD ST, SUITE 201, LAKE GENEVA, WI 53147-2000
(262) 248-7942
Mailing address
101 BROAD ST, SUITE 201, LAKE GENEVA, WI 53147-2000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3570-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40996000
—
WI
Enumeration date
07/05/2006
Last updated
07/08/2007
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