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General NPI Number Information
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NPI Number | 1043949761
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Entity Type | Individual
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Provider Name | AMBER LEIGH GREUEL LPC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 1095 MIDWAY RD
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City | MENASHA
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State | WI
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Zip | 54952-1115
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Country | US
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Telephone | 920-720-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 E EDGEWOOD DR STE 105107
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City | APPLETON
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State | WI
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Zip | 54913-9407
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Country | US
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Telephone | 920-234-6842
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4718
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8618
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 19394
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License Number State | WI
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