Individual
PEG GABIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6929 MARINER DR, RACINE, WI 53406-3938
(414) 571-9484
(414) 571-9648
Mailing address
2100 W HIGH ST, RACINE, WI 53404-2421
(414) 571-9484
(414) 571-9648
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2637-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39740500
—
WI
Enumeration date
04/10/2007
Last updated
07/08/2007
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