Provider Demographics
NPI:1447647367
Name:GRECO, MARGARET (MS, MSE, LPC, NCC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GRECO
Suffix:
Gender:F
Credentials:MS, MSE, LPC, NCC
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:GRECO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, MSE, LPC, NCC
Mailing Address - Street 1:5459 OAKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54482-8820
Mailing Address - Country:US
Mailing Address - Phone:715-347-4769
Mailing Address - Fax:
Practice Address - Street 1:5541 US HIGHWAY 10 E
Practice Address - Street 2:SUITE B
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54482-8306
Practice Address - Country:US
Practice Address - Phone:715-345-9690
Practice Address - Fax:715-345-2938
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-17
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5472-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional