person
Fanchen Gao, LPCIT
Professional Counselor in Grafton, Wisconsin
NPI 1649859943

Fanchen Gao is a Professional Counselor based in Milwaukee, WI and is specialized in Professional. Fanchen Gao practices in Grafton, WI and has the professional credentials of LPCIT. The NPI Number for Fanchen Gao is 1649859943 and holds a License No. 19275-130 (Wisconsin).

The current practice location address for Fanchen Gao is 1971 Washington St Ste 200, Grafton, WI and can be reached out via phone at 262-377-6276 and via fax at 262-377-6289.

Location: 1971 Washington St Ste 200, Grafton, WI, 53217-5851
person
Provider Profile Details
NPI Number
1649859943
Provider Name
Fanchen Gao
Credential
LPCIT
Provider Entity Type
Individual
Gender
Male
Address
1971 Washington St Ste 200, Grafton, WI, 53217-5851
Phone Number
262-377-6276
Fax Number
262-377-6289
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1971 Washington St Ste 200
City
State
Zip
53024-2125
Phone Number
262-377-6276
Fax Number
262-377-6289
person
Provider Business Mailing Address Details
Address
1971 Washington St Ste 200
City
State
Zip
53024-2125
Phone Number
262-377-6276
Fax Number
262-377-6289
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
4887-226 (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.
4887-226 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
19275-130 (Wisconsin)
Definition
Definition to come...
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