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Provider Information for 1043685282


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Ms. SHEILA MARIE KRIEGER LPC


Sex: Female

NPI: 1043685282
Last Updated: 2021-11-03
Certification Date: 2021-11-03

Details

NameValue
NPI1043685282
Enumeration Date2015-12-13
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 5310 E BRITAIN AVE
BENTON HARBOR, MI 49022-9768
United States

Phone: 269-325-0767 | Fax:
 
Primary Practice Address 2390 WOODLAKE DR STE 380
OKEMOS, MI 48864-6018
United States

Phone: 517-999-1104 | Fax:
 
Secondary Practice Address(es)

5310 E BRITAIN AVE
BENTON HARBOR, MI 49022-9768
United States

Phone: 269-325-0767 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthMI1932343
Yes 101Y00000X - Counselor MI6401015139