Search › Wisconsin › 101YP2500X
Jay Gaethke, LPC, SAC, CSW
NPI 1346325446 · on the registry since 2006
Practice
- Address
- 500 Elm Grove Rd
Suite 100
Elm Grove, WI 53122 - Phone
- (262) 782-2090
- Fax
- (262) 782-2092
- Organisation at this address
- Trillium Care Group Llc
Jensen Health & Energy Center, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YM0800X
101YA0400X - Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-14
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