Mary L Seubert, LPC, CSAC is a
Counselor - Professional based in Coloma, Wisconsin. Mary L Seubert is licensed to practice in Wisconsin (license number 4555-125) and her current practice location is
1519 3rd Ave, Coloma, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 647-6679.
NPI number for Mary L Seubert is 1962530170 and her current mailing address is 1519 3rd Ave, Coloma, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962530170.
Healthcare Provider's Profile
Full Name | Mary L Seubert |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1519 3rd Ave, Coloma, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962530170
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 01/08/2019
Medical Identifiers
Medical identifiers for Mary L Seubert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962530170 | NPI | - | NPPES |
4555-125 | Other | WI | STATE LICENSE |
1308-132 | Other | WI | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1308 (Wisconsin) | Secondary |
101YP2500X | Counselor - Professional | 4555-125 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary L Seubert is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary L Seubert, LPC, CSAC 1519 3rd Ave, Coloma, WI 54930-9406 Ph: (920) 647-6679 | Mary L Seubert, LPC, CSAC 1519 3rd Ave, Coloma, WI 54930-9406 Ph: (920) 647-6679 |
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