Individual provider · Type 1 NPI

Fanchen Gao, LPCIT

Professional Counselor · Grafton, WI

NPI number 1649859943 Active

Practice location

1971 Washington St Ste 200
Grafton, WI 53024-2125

Call (262) 377-6276 Map

Fax (262) 377-6289

Mailing address

4848 N Lydell Ave Apt 125
Milwaukee, WI 53217-5851

Other practice locations

  • 1622 Chestnut St, West Bend, WI 53095-3014 · (262) 306-9800

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X19275-130 (WI)
Mental Health Counselor 101YM0800X4887-226 (WI)
Professional Counselor Primary 101YP2500X4887-226 (WI)

Professional Counselor: Definition to come...

4 other providers at this address

Other professional counselor providers in Grafton

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About NPI 1649859943

Fanchen Gao, LPCIT's National Provider Identifier is 1649859943, issued on Apr 5, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Grafton, WI. The record was last updated on Apr 5, 2021.