Individual provider · Type 1 NPI

Jay William Gaethke, LPC, SAC, CSW

Professional Counselor · Elm Grove, WI

NPI number 1346325446 Active

Practice location

500 Elm Grove Rd, Suite 100
Elm Grove, WI 53122-2546

Call (262) 782-2090 Map

Fax (262) 782-2092

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500X3912 (WI)

Professional Counselor: Definition to come...

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About NPI 1346325446

Jay William Gaethke, LPC, SAC, CSW's National Provider Identifier is 1346325446, issued on Oct 26, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Elm Grove, WI. The record was last updated on May 14, 2024.