Individual
SALLY S SIBBLAD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT CADC
Contact information
Practice address
212 11TH ST S, LA CROSSE, WI 54601-4116
(608) 791-9555
(608) 791-9432
Mailing address
700 WEST AVE S, ATTN PHYSICIAN SERVICES, LA CROSSE, WI 54601-4783
(608) 791-4156
(608) 791-9898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
373
WI
106H00000X
Marriage & Family Therapist
Primary
506
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39336200
—
WI
Enumeration date
06/09/2006
Last updated
09/11/2025
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