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Individual

ANTHONY J GAUTHIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS LMHP

Contact information

Practice address
2121 N WEBB RD, SUITE 310, GRAND ISLAND, NE 68803-1751
(308) 385-0113
Mailing address
816 7TH ST, P O BOX 65, SAINT PAUL, NE 68873-1611
(308) 754-5637

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
024
NE
101YP2500X
Professional Counselor
Primary
636
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84746
BCBSNE PROVIDER NUMBER
NE
Enumeration date
05/14/2007
Last updated
09/11/2025
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