Provider Demographics
NPI:1851407571
Name:SEIBEL, DIANNE MARIE (LCMFT)
Entity type:Individual
Prefix:
First Name:DIANNE
Middle Name:MARIE
Last Name:SEIBEL
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 S ZELTA ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-7026
Mailing Address - Country:US
Mailing Address - Phone:316-559-6653
Mailing Address - Fax:
Practice Address - Street 1:2024 N WOODLAWN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1851
Practice Address - Country:US
Practice Address - Phone:316-559-6653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201627106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist