Individual
TRACI GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, SAC
Contact information
Practice address
230 W WELLS ST, SUITE 500, MILWAUKEE, WI 53203-1866
(414) 290-0440
Mailing address
230 W WELLS ST, SUITE 500, MILWAUKEE, WI 53203-1866
(414) 290-0440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4773-125
WI
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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