Doctor Name: | MR. TERENCE MICHAEL GUNVILLE |
NPI Number: | 1154528651 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LCSW835123 |
Business Practice Address: | 16655 W Bluemound Rd Suite 300 Bray Consultants Brookfield, WI - 53005 |
Business Phone Number: | 2628210588 |
Business Fax Number: | 2628210599 |
Mailing Address: | 920 Tenny Avenue, HARTLANDD |
State: | WI |
Postal Code: | 53029 |
Phone Number: | 2623675160 |
Fax Number: | |
NPI Enumeration Date: | 06/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCSW835123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |