Individual
MR. TERRANCE LAVELL GUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROFESSIONAL COUNSEL
Contact information
Practice address
151 S 84TH ST, MILWAUKEE, WI 53214-1456
(414) 476-3710
Mailing address
1955 LAWN ST, RACINE, WI 53404-2921
(262) 664-9144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4284226
WI
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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