person
Mr. Jay William Gaethke, LPC,SAC,CSW
Professional Counselor in Elm Grove, Wisconsin
NPI 1346325446

Jay William Gaethke is a Professional Counselor based in Elm Grove, WI and is specialized in Professional. Jay William Gaethke practices in Elm Grove, WI and has the professional credentials of LPC,SAC,CSW. The NPI Number for Jay William Gaethke is 1346325446 and holds a License No. (Wisconsin).

The current practice location address for Jay William Gaethke is 500 Elm Grove Rd, Elm Grove, WI and can be reached out via phone at 262-782-2090 and via fax at 262-782-2092.

Location: 500 Elm Grove Rd, Elm Grove, WI, 53122-2546
person
Provider Profile Details
NPI Number
1346325446
Provider Name
Jay William Gaethke
Credential
LPC,SAC,CSW
Provider Entity Type
Individual
Gender
Male
Address
500 Elm Grove Rd, Elm Grove, WI, 53122-2546
Phone Number
262-782-2090
Fax Number
262-782-2092
Provider Enumeration Date
10/26/2006
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
500 Elm Grove Rd
City
State
Zip
53122-2546
Phone Number
262-782-2090
Fax Number
262-782-2092
person
Provider Business Mailing Address Details
Address
500 Elm Grove Rd
City
State
Zip
53122-2546
Phone Number
262-782-2090
Fax Number
262-782-2092
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3912 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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