Provider Demographics
NPI:1093007510
Name:ALBERS, SYLVIA LAVONNE (LPC)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:LAVONNE
Last Name:ALBERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 RIVARD ST
Mailing Address - Street 2:SUITE 102 FAMILY THERAPY ASSOCIATES
Mailing Address - City:SOMERSET
Mailing Address - State:WI
Mailing Address - Zip Code:54025
Mailing Address - Country:US
Mailing Address - Phone:715-338-2698
Mailing Address - Fax:
Practice Address - Street 1:712 RIVARD ST.
Practice Address - Street 2:STE 102 FAMILY THERAPY ASSOCIATES
Practice Address - City:SOMERSET
Practice Address - State:WI
Practice Address - Zip Code:54025-7385
Practice Address - Country:US
Practice Address - Phone:715-338-2698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2759-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional