Individual
PAUL W GASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS MFT LCSW CADC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1125
WI
1041C0700X
Clinical Social Worker
Primary
1519
WI
106H00000X
Marriage & Family Therapist
356
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39263200
—
WI
Enumeration date
06/08/2006
Last updated
03/31/2015
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