Gaethke, Jay William

Gaethke, Jay William is an individual health care provider with primary practice located at 500 Elm Grove Rd Suite 100, Elm Grove WI 53122-2546. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gaethke, Jay William can be contacted via phone (262) 782-2090.

Contact Information

Primary practice address
500 Elm Grove Rd Suite 100 Elm Grove WI 53122-2546
Phone: (262) 782-2090
Fax: (262) 782-2092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 3912 Wisconsin

Profile Details

NPI number 1346325446
LBN Legal business name Gaethke, Jay William
Credentials LPC, SAC, CSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated May 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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