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Individual

MS. KATHERINE A DIBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC, LPC

Contact information

Practice address
4848 S 76TH ST, GREENFIELD, WI 53220-4361
(262) 999-7249
Mailing address
4848 S 76TH ST, GREENFIELD, WI 53220-4361
(262) 999-7249

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15361131
WI
101YP2500X
Professional Counselor
Primary
7108125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15361131
WISCONSIN DEPARTMENT OF REGULATUION AND LICENSING
WI
05
39178900
WI
Enumeration date
05/08/2008
Last updated
06/27/2025
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