Individual
MRS. AMBER MARIE TEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC, NCC
Contact information
Practice address
3049 RAMADA WAY STE 200, GREEN BAY, WI 54304-5576
(920) 482-2932
(800) 892-6147
Mailing address
3049 RAMADA WAY STE 200, GREEN BAY, WI 54304-5576
(920) 482-2932
(800) 892-6147
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16424-131
WI
101YM0800X
Mental Health Counselor
Primary
8037-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760910004
—
WI
Enumeration date
05/31/2017
Last updated
02/05/2024
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