Individual
ROCHELLE M GENTELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-5488
Mailing address
320 S WALNUT ST, APPLETON, WI 54911-5918
(920) 832-5270
(920) 832-5488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5275
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100196901
—
WI
Enumeration date
02/03/2022
Last updated
03/24/2022
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