Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAY WILLIAM GAETHKE, LPC, SAC, CSW
ActiveMR. JAY WILLIAM GAETHKE, LPC, SAC, CSW is a Professional Counselor healthcare provider located in ELM GROVE, Wisconsin. NPI 1346325446 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ELM GROVE, WI
Registration Details
- NPI Number
- 1346325446
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2006 (19.616276580915 yrs)
- Last Updated
- May 14, 2024
- License
-
3912 (WI)
Practice Information
- Address
-
500 ELM GROVE RDSUITE 100ELM GROVE, WI, 531222546Browse WI providers · Browse ZIP 53122
- Phone
- 2627822090
- Fax
- 2627822092
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in ELM GROVE, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. THERESA MARIE SHUCK | MS,MA,LCGC,LPC | 1598743239 |
| MRS. COLLEEN PATRICIA ROURKE | M.S. | 1902864309 |
| MRS. TAMMY M GROSZCZYK | M.S. LPC | 1932138245 |
| MS. MARY ELIZABETH AMUNSON | LPC | 1689772667 |
| MRS. RENE ANN BURGOYNE | MS, ATRL-BC | 1952493470 |
| DIANE MARIE BAST | LPC | 1568512572 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.