Gauthier, Ashley M

Gauthier, Ashley M is an individual health care provider with primary practice located at 4061 Old Peshtigo Rd , Marinette WI 54143-3887. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gauthier, Ashley M can be contacted via phone (715) 732-8050.

Contact Information

Primary practice address
4061 Old Peshtigo Rd Marinette WI 54143-3887
Phone: (715) 732-8050
Fax: (715) 732-8015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 129618-121 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 9378-123 Wisconsin

Profile Details

NPI number 1063053494
LBN Legal business name Gauthier, Ashley M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2019
Last updated May 23rd, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063053494 NPPES
Wisconsin MEDICAID 100093971

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