Individual
PEGGY KUBIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-T, SAC-IT
Contact information
Practice address
2920 S WEBSTER AVE, GREEN BAY, WI 54301-1594
(920) 471-9680
Mailing address
272 GWYNN ST, GREEN BAY, WI 54301-1008
(920) 471-9680
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16094-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
17125-130
WI
101YM0800X
Mental Health Counselor
Primary
2141-226
WI
101YM0800X
Mental Health Counselor
6067-125
WI
101YP2500X
Professional Counselor
6067-125
WI
Other
Enumeration date
06/02/2014
Last updated
08/29/2023
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