Jay William Gaethke LPC, SAC, CSW

NPI 1346325446 - Counselor - 101YA0400X

NPI Details
NPI 1346325446
Gender Male
Enumeration Date 10/26/2006
Last Updated 08/30/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
500 ELM GROVE RD
SUITE 100
ELM GROVE WI, 53122-2546, US
Phone (262) 782-2090
Fax (262) 782-2092
Business Location
500 ELM GROVE RD
SUITE 100
ELM GROVE WI, 53122-2546, US
Phone (262) 782-2090
Fax (262) 782-2092
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
Remove 1346325446 NPI Number
 

According to our database, Mr. Jay William Gaethke LPC, SAC, CSW NPI is 1346325446, taxonomy code is 101YA0400X Jay William Gaethke LPC, SAC, CSW physically located at 500 Elm Grove Rd, Elm Grove WI, 53122-2546. NPI Number Jay William Gaethke LPC, SAC, CSW has the Individual type.

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1346325446 NPI number is provided on an as is basis without warranty of any kind. 1346325446 is maintained by the National Plan & Provider Enumeration System. The contents of Jay William Gaethke LPC, SAC, CSW are for informational purposes only.