person
Jan Gainer
Professional Counselor in Racine, Wisconsin
NPI 1598880163

Jan Gainer is a Professional Counselor based in Racine, WI and is specialized in Professional. Jan Gainer practices in Racine, WI. The NPI Number for Jan Gainer is 1598880163 and holds a License No. 11265 (Wisconsin).

The current practice location address for Jan Gainer is 9301 Washington Ave, Racine, WI and can be reached out via phone at 262-687-8611.

Location: 9301 Washington Ave, Racine, WI, 53406-3752
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Provider Profile Details
NPI Number
1598880163
Provider Name
Jan Gainer
Credential
Provider Entity Type
Individual
Gender
Female
Address
9301 Washington Ave, Racine, WI, 53406-3752
Phone Number
262-687-8611
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11013500 05 WI
institution
Provider Business Practice Location Address Details
Address
9301 Washington Ave
City
State
Zip
53406-3752
Phone Number
262-687-8611
Fax Number
person
Provider Business Mailing Address Details
Address
9301 Washington Ave
City
State
Zip
53406-3752
Phone Number
262-687-8611
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
546 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
11265 (Wisconsin)
Definition
Definition to come...
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