Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fanchen Gao, LPCIT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1649859943

Fanchen Gao, LPCIT is an Addiction (Substance Use Disorder) Counselor in Grafton, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2021
Specialties on file
3

Practice location Address checks out

1971 Washington St Ste 200
Grafton, WI 53024-2125
Phone: (262) 377-6276
Fax: (262) 377-6289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1622 Chestnut St, West Bend, WI 53095-3014 — (262) 306-9800

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4887-226 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 19275-130 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 4887-226 (WI)

Record details

NPI number1649859943
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCIT
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESApril 5, 2021
Certification dateApril 5, 2021
Mailing address4848 N Lydell Ave Apt 125, Milwaukee, WI 53217-5851

Other providers in Grafton