Individual
MS. CARISSA MARIE GUTSMIEDL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3500
(303) 853-3702
Mailing address
527 LILAC ST, OSHKOSH, WI 54902-5523
(920) 562-3793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7938-125
WI
101YP2500X
Professional Counselor
Primary
LPC.0018023
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103270
—
WI
05
—
376001106006
—
IL
05
—
376001106007
—
IL
Enumeration date
06/14/2016
Last updated
07/22/2025
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