Provider Demographics
NPI:1306575972
Name:IVERS, MARGARET MARIE (LPC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARIE
Last Name:IVERS
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 1:818 WEST ST
Mailing Address - Street 2:SUITE 814
Mailing Address - City:WATERTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53094-3608
Mailing Address - Country:US
Mailing Address - Phone:920-306-2174
Mailing Address - Fax:
Practice Address - Street 1:818 WEST ST
Practice Address - Street 2:SUITE 814
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53094-3608
Practice Address - Country:US
Practice Address - Phone:920-306-2174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7004-226101YM0800X
WI10904-125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health