MR. Jay William Gaethke, LPC, SAC, CSW

NPI #1346325446 in Elm Grove, Wisconsin

Provider Information

NPI Number: 1346325446
Entity Type: Individual
Name: MR. Jay William Gaethke, LPC, SAC, CSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC, SAC, CSW
Enumeration Date: Oct 26, 2006
Last Updated: May 14, 2024

Practice Location

Address: 500 ELM GROVE RD
Address 2: SUITE 100
City: Elm Grove
State: Wisconsin
ZIP Code: 53122-2546
Phone: (262) 782-2090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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