Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mara Tibbals

Individual provider Professional Counselor · NPI 1104600774

Mara Tibbals is a Professional Counselor in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

10150 W National Ave Ste 390
West Allis, WI 53227-2145
Phone: (414) 545-4430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7480-226 (WI)

Record details

NPI number1104600774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023
Mailing addressW142n8220 Merrimac Dr, Menomonee Falls, WI 53051-3947

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