Provider Demographics
NPI:1972954394
Name:GETHNER, ASHLEE (BA, MA)
Entity type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:GETHNER
Suffix:
Gender:F
Credentials:BA, MA
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:
Other - Last Name:NIEFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA, MA
Mailing Address - Street 1:2901 35TH ST LOWR SUITEB
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-5117
Mailing Address - Country:US
Mailing Address - Phone:262-764-2459
Mailing Address - Fax:
Practice Address - Street 1:2901 35TH ST LOWR SUITEB
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-5117
Practice Address - Country:US
Practice Address - Phone:262-764-2459
Practice Address - Fax:262-558-0429
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9810-1231041C0700X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical