MEDICARE: AMBER M TEUBERT LMHC, LPC, LPCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	180.014243	IL
2	101YP2500X	Professional Counselor	5576-125	WI
3	101YP2500X	Professional Counselor	CC04756	MN
4	101YM0800X	Mental Health Counselor	001605	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245586544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER M TEUBERT LMHC, LPC, LPCC

Provider Business Mailing Address
First Line	:	210 JONES ST STE 200
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-7615
Country	:	US
Telephone Number	:	563-557-6869
Fax Number	:	563-334-7989

Provider Business Practice Location Address
First Line	:	210 JONES ST STE 200
Second Line	:
City	:	DUBUQUE
State	:	IA
Zip	:	52001-7615
Country	:	US
Telephone Number	:	563-557-6869
Fax Number	:	563-334-7989

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2012
Last Update Date	:	04/02/2025

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