Individual
MS. LAUREN ELIZABETH GIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSE, LPC, SAC-IT
Contact information
Practice address
480 PILGRIM WAY # 1300-A, GREEN BAY, WI 54304-5280
(920) 610-5119
(920) 610-5120
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20012-130
WI
101YM0800X
Mental Health Counselor
Primary
11893
WI
101YM0800X
Mental Health Counselor
7100-226
WI
101YP2500X
Professional Counselor
11893
WI
101YP2500X
Professional Counselor
7100-226
WI
Other
Enumeration date
03/29/2024
Last updated
07/15/2025
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