Provider Demographics
NPI:1245586544
Name:TEUBERT, AMBER M (LMHC, LPC, LCPC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:M
Last Name:TEUBERT
Suffix:
Gender:F
Credentials:LMHC, LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 JONES ST STE 200
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-7615
Mailing Address - Country:US
Mailing Address - Phone:563-557-6869
Mailing Address - Fax:563-334-7989
Practice Address - Street 1:210 JONES ST STE 200
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-7615
Practice Address - Country:US
Practice Address - Phone:563-557-6869
Practice Address - Fax:563-334-7989
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.014243101YP2500X
WI5576-125101YP2500X
IA001605101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100098925Medicaid
IA0224917Medicaid