Individual
MRS. ROXANNE MARIE GUENTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, SASA
Contact information
Practice address
12970 W BLUEMOUND RD, SUITE 308, ELM GROVE, WI 53122-2607
(262) 780-1020
(262) 780-1022
Mailing address
12970 W BLUEMOUND RD STE 200, ELM GROVE, WI 53122-2607
(262) 780-1020
(262) 780-1022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13082
WI
1041C0700X
Clinical Social Worker
Primary
7037-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13082
CADC-D
WI
05
—
40949900
—
WI
01
—
7037-123
LCSW
WI
Enumeration date
09/16/2005
Last updated
02/08/2019
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