Individual
MS. GAIL J ALBERGOTTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, MS PSYCHOLOGY
Contact information
Practice address
1212 S 70 ST, LACAUSA TREATMENT SERVICES, MILWAUKEE, WI 53214-1924
(414) 902-1500
Mailing address
4058 N 96TH ST, WAUWATOSA, WI 53222-1527
(414) 217-7638
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
12712
WI
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
3513-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39217400
—
WI
Enumeration date
05/07/2007
Last updated
08/09/2010
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