Provider Demographics
NPI:1346545506
Name:GUST, GREER MINETTE (LPC MS)
Entity Type:Individual
Prefix:MS
First Name:GREER
Middle Name:MINETTE
Last Name:GUST
Suffix:
Gender:F
Credentials:LPC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2529B PARKVIEW LN
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-5695
Mailing Address - Country:US
Mailing Address - Phone:715-505-2866
Mailing Address - Fax:
Practice Address - Street 1:131 CARMICHAEL RD STE 206
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-8271
Practice Address - Country:US
Practice Address - Phone:715-505-2866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10165-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional