Individual provider · Type 1 NPI
Kyle J. Prorok, LPC
Professional Counselor · Viroqua, WI
NPI number
1376976738
Active
Practice location
400 Congress Ave
Viroqua, WI 54665-1309
Fax (608) 637-8000
Mailing address
E10671 Gore Hollow Rd
Viola, WI 54664-8054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 1607-226 (WI) |
| Professional Counselor Primary | 101YP2500X | 5504-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1376976738
Kyle J. Prorok, LPC's National Provider Identifier is 1376976738, issued on Aug 20, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Viroqua, WI. The record was last updated on Aug 25, 2021.