Individual
LYNETTE GUNVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188
(262) 928-2396
(262) 544-1213
Mailing address
721 AMERICAN AVE, SUITE 501, WAUKESHA, WI 53188
(262) 928-2396
(262) 544-1213
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2982125
WI
101YP2500X
Professional Counselor
Primary
2982
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2982125
LPC
WI
05
—
43586100
—
WI
Enumeration date
03/01/2007
Last updated
05/14/2024
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