Individual
MR. GARY ROBERT PROBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
632 CLARK ST, MEDFORD, WI 54451-1568
(920) 382-0071
(866) 238-3845
Mailing address
843 BRIDLEWOOD DR, HARTFORD, WI 53027-2799
(262) 244-0729
(866) 238-3845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
121611
IA
101YM0800X
Mental Health Counselor
2025050746
MO
101YM0800X
Mental Health Counselor
6287-125
WI
101YM0800X
Mental Health Counselor
LPC-21419
AZ
101YM0800X
Mental Health Counselor
TPMC7308
FL
101YP2500X
Professional Counselor
Primary
577849
WI
Other
Enumeration date
11/09/2016
Last updated
03/19/2026
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