Individual
JOSEPH PAUL GAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-IT
Contact information
Practice address
619 RIVER ST, BELLEVILLE, WI 53508-9188
(920) 540-1365
Mailing address
619 RIVER ST, BELLEVILLE, WI 53508-9188
(920) 540-1365
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
WI
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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