Doctor Name: | MS. SHEILA MARIE KRIEGER |
NPI Number: | 1043685282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 1932343 |
Business Practice Address: | 5310 E Britain Ave Benton Harbor, MI - 490229768 |
Business Phone Number: | 2693250767 |
Business Fax Number: | |
Mailing Address: | 5310 E Britain Ave, BENTON HARBOR |
State: | MI |
Postal Code: | 490229768 |
Phone Number: | 2693250767 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2015 |
NPI Last Update Date: | 12/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1932343 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |