Provider Demographics
NPI:1194818146
Name:REETZ, GRETCHEN R (LPC)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:R
Last Name:REETZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:R
Other - Last Name:SCHARRINGHAUSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:715-838-5222
Mailing Address - Fax:
Practice Address - Street 1:212 11TH ST S
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4116
Practice Address - Country:US
Practice Address - Phone:608-791-9555
Practice Address - Fax:608-791-9432
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3742101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional