Individual provider · Type 1 NPI

Kim D. Prusha, LPC

Professional Counselor · Menasha, WI

NPI number 1114223542 Active

Practice location

1095 Midway Rd
Menasha, WI 54952-1115

Call (920) 720-2300 Map

Fax (920) 720-3806

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X397 (WI)

Professional Counselor: Definition to come...

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About NPI 1114223542

Kim D. Prusha, LPC's National Provider Identifier is 1114223542, issued on Feb 2, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Menasha, WI. The record was last updated on Dec 8, 2023.