person
Gretchen Dominowski, LPC-IT,SAC-IT
Mental Health Counselor in Menasha, Wisconsin
NPI 1598381659

Gretchen Dominowski is a Mental Health Counselor based in Green Bay, WI and is specialized in Mental Health. Gretchen Dominowski practices in Menasha, WI and has the professional credentials of LPC-IT,SAC-IT. The NPI Number for Gretchen Dominowski is 1598381659 and holds a License No. 19223 (Wisconsin).

The current practice location address for Gretchen Dominowski is 1810 Appleton Rd, Menasha, WI and can be reached out via phone at 920-739-4226 and via fax at 920-432-5966.

Location: 1810 Appleton Rd, Menasha, WI, 54305-2308
person
Provider Profile Details
NPI Number
1598381659
Provider Name
Gretchen Dominowski
Credential
LPC-IT,SAC-IT
Provider Entity Type
Individual
Gender
Female
Address
1810 Appleton Rd, Menasha, WI, 54305-2308
Phone Number
920-739-4226
Fax Number
920-432-5966
Provider Enumeration Date
06/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1810 Appleton Rd
City
State
Zip
54952-1110
Phone Number
920-739-4226
Fax Number
920-432-5966
person
Provider Business Mailing Address Details
Address
1810 Appleton Rd
City
State
Zip
54952-1110
Phone Number
920-739-4226
Fax Number
920-432-5966
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4648-226 (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.
19223 (Wisconsin)
Definition
Definition to come...
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