Individual
KEYARA J TABBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
304 BICKFORD ST, NEW LISBON, WI 53950-1533
(608) 562-3976
Mailing address
W10174 29TH ST, CAMP DOUGLAS, WI 54618-9709
(608) 344-0053
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2224-124
WI
Other
Enumeration date
12/29/2022
Last updated
05/12/2025
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