Individual
MR. KEITH ROBERT GAERTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
3800 N MAYFAIR RD, LUTHERAN COUNSELING AND FAMILY SERVICES, WAUWATOSA, WI 53222-2213
(414) 536-8333
(414) 536-8348
Mailing address
11104 W GREENFIELD AVE, #12, WEST ALLIS, WI 53214-2380
(414) 526-9784
(414) 536-8348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3508-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40987100
—
WI
Enumeration date
08/19/2006
Last updated
07/08/2007
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