| Doctor Name: | MS. LAURA JEAN GJESTSON |
| NPI Number: | 1164458626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW LICENSED CLINCI |
| License Number: | LCSW6801123 |
| Business Practice Address: | 829 S Iowa St Dodgeville, WI - 53533 |
| Business Phone Number: | 6089352838 |
| Business Fax Number: | 6089359227 |
| Mailing Address: | 829 S Iowa St, Uplands Counseling Associates DODGEVILLE |
| State: | WI |
| Postal Code: | 53533 |
| Phone Number: | 6089352838 |
| Fax Number: | 6089359227 |
| NPI Enumeration Date: | 06/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCSW6801123 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |