Individual
GINGER LIEBMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC-IT
Contact information
Practice address
700 RAY O VAC DR STE 114, MADISON, WI 53711-2468
(608) 514-1625
Mailing address
700 RAY O VAC DR STE 114, MADISON, WI 53711-2468
(608) 514-1625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7443-226
WI
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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