Sibblad, Sally S

Sibblad, Sally S is an individual health care provider with primary practice located at 212 11Th St S , La Crosse WI 54601-4116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Sibblad, Sally S can be contacted via phone (608) 791-9555.

Contact Information

Primary practice address
212 11Th St S La Crosse WI 54601-4116
Fax: (608) 791-9432
Website:

Health care specialties

Profile Details

NPI number 1922049345
LBN Legal business name Sibblad, Sally S
Credentials LMFT CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922049345 NPPES
Wisconsin MEDICAID 39336200

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