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Organization

EMPOWERMENT COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMANTHA LEIBFRIED LPC (LICENSING PROFESSIONAL COUNSELOR)
(608) 723-4433
Entity
Organization

Contact information

Practice address
702 S MADISON ST, LANCASTER, WI 53813-2186
(815) 291-6844
Mailing address
702 S MADISON ST, LANCASTER, WI 53813-2186
(608) 723-4433
(608) 535-6862

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TC1900X
Counseling Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1457829178
WI
Enumeration date
11/12/2018
Last updated
02/10/2020
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