Search › Wisconsin › 104100000X
Jaime Gunderson, LCSW, CSAC
NPI 1164955878 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1446 Horicon St
Mayville, WI 53050 - Phone
- (920) 539-0219
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041C0700X
101YA0400X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin