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Provider Information for 1851407571


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DIANNE MARIE SEIBEL LCMFT


Sex: Female

NPI: 1851407571
Last Updated: 2024-09-11
Certification Date: 2024-09-11

Details

NameValue
NPI1851407571
Enumeration Date2006-08-23
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 817 S ZELTA ST
WICHITA, KS 67207-7026
United States

Phone: 316-559-6653 | Fax:
 
Primary Practice Address 2024 N WOODLAWN ST
WICHITA, KS 67208-1851
United States

Phone: 316-559-6653 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist TX201627