Keith Robert Gaertner MS, LPC

NPI 1194830414 - Counselor - 101Y00000X

NPI Details
NPI 1194830414
Gender Male
Enumeration Date 08/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3800 N MAYFAIR RD
LUTHERAN COUNSELING AND FAMILY SERVICES
WAUWATOSA WI, 53222-2213, US
Phone (414) 536-8333
Fax (414) 536-8348
Business Location
11104 W GREENFIELD AVE
#12
WEST ALLIS WI, 53214-2380, US
Phone (414) 526-9784
Fax (414) 536-8348
Toxanomy
Taxonomy Code 101Y00000X
License State Wisconsin
License Number 3508-125
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According to our database, Mr. Keith Robert Gaertner MS, LPC NPI is 1194830414, taxonomy code is 101Y00000X and license number is 3508-125, license state is located at Wisconsin. Keith Robert Gaertner MS, LPC physically located at 3800 N Mayfair Rd, Wauwatosa WI, 53222-2213. NPI Number Keith Robert Gaertner MS, LPC has the Individual type.

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1194830414 NPI number is provided on an as is basis without warranty of any kind. 1194830414 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Robert Gaertner MS, LPC are for informational purposes only.