Individual
MRS. AVIS PAULINE SIERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
551 W. JOHNSON ST., FOND DU LAC, WI 54935
(920) 907-0097
(920) 907-0109
Mailing address
551 W. JOHNSON ST., FOND DU LAC, WI 54935
(920) 907-0097
(920) 907-0109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3327-125
WI
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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