KENNETH PRUST, LCSW

LCSW

Mental Health Counselor

NPI: 1134113178Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

6795-123(WI)

Contact & Hours

Address: 1200 N CENTER ST
BEAVER DAM, WI 53916
Phone: (920) 887-3171

Quick Facts

NPI: 1134113178
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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