Nicole M Gutzman, LPC, NCC
Counselor, Professional in Janesville, WI. Individual provider (NPI-1).
NPI number1962096503
StatusActive
Last updated in NPPESFeb 24, 2021
Details
- NPI
- 1962096503
- Entity type
- Individual (NPI-1)
- Name
- Nicole M Gutzman
- Credential
- LPC, NCC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2021
- Certification date
- Feb 24, 2021
- Last updated
- Feb 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 7354-125 | WI | Yes |
Practice location
1 S Main StreetJanesville, WI 53545-3977
Phone 608-757-0404 · Fax 608-757-2319
Mailing address
Genesis Counseling ServicesP.O. Box 8010
Janesville, WI 53547-8010
Phone 608-757-0404 · Fax 608-757-2319
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