Healthcare Provider Details

I. General information

NPI: 1528034345
Provider Name (Legal Business Name): JEANNA J LEFEBER-GRAHL MSE, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JEANNA GRAHL

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E SAINT JOSEPH ST
GREEN BAY WI
54301-2241
US

IV. Provider business mailing address

301 E SAINT JOSEPH ST
GREEN BAY WI
54301-2241
US

V. Phone/Fax

Practice location:
  • Phone: 920-433-6073
  • Fax: 920-431-0333
Mailing address:
  • Phone: 920-433-6073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2924-125
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2924-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: