Organization
GREENTREE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG ALAN LUEBKE MSW, LCSW (OWNER)
(262) 249-0830
Entity
Organization
Contact information
Practice address
160 E GENEVA SQ, LAKE GENEVA, WI 53147-9694
(262) 249-0830
(262) 249-0835
Mailing address
PO BOX 100, ZENDA, WI 53195-0100
(262) 249-0830
(262) 249-0835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3556-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39637100
—
WI
Enumeration date
07/23/2009
Last updated
12/12/2016
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