Individual provider · Type 1 NPI

Amy Prouty, LPC, CSAC

Professional Counselor · Jefferson, WI

NPI number 1295132702 Active

Practice location

1541 Annex Rd
Jefferson, WI 53549-9803

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500X6292-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1295132702

Amy Prouty, LPC, CSAC's National Provider Identifier is 1295132702, issued on Nov 26, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jefferson, WI. The record was last updated on Feb 25, 2025.