Individual
MICHAELA GILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2804 RIB MOUNTAIN DR STE D, WAUSAU, WI 54401-7473
(715) 301-0667
Mailing address
1506 METRO DR APT 7, SCHOFIELD, WI 54476-2390
(763) 200-2784
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4800-226
WI
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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