Individual
KEITH EDWARD GASCHO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. LPCC
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00285
MN
103T00000X
Psychologist
285
MN
103TC0700X
Clinical Psychologist
285
MN
Other
Enumeration date
11/01/2006
Last updated
12/07/2023
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