Guenther, Roxanne Marie
Guenther, Roxanne Marie is an sole proprietor health care provider with primary practice located at 12970 W Bluemound Rd Suite 308, Elm Grove WI 53122-2607. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Guenther, Roxanne Marie can be contacted via phone (262) 780-1020.Contact Information
Primary practice address
12970 W Bluemound Rd Suite 308
Elm Grove WI 53122-2607
Phone: (262) 780-1020
Fax: (262) 780-1022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 13082 | Wisconsin |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 7037-123 | Wisconsin |
Profile Details
| NPI number | 1235124173 |
|---|---|
| LBN Legal business name | Guenther, Roxanne Marie |
| Credentials | LCSW, SASA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Feb 8th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235124173 | NPPES |
| Wisconsin | Other | 13082 | CADC-D |
| Wisconsin | Other | 7037-123 | CADC-D |
| Wisconsin | MEDICAID | 40949900 | CADC-D |
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