Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH LAMAR PRUST, LCSW
ActiveKENNETH LAMAR PRUST, LCSW is a Mental Health Counselor healthcare provider located in BEAVER DAM, Wisconsin. NPI 1134113178 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · BEAVER DAM, WI
Registration Details
- NPI Number
- 1134113178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2005 (20.914052965165 yrs)
- Last Updated
- Jul 9, 2007
- License
-
6795-123 (WI)
Practice Information
- Address
-
1200 N CENTER STBEAVER DAM, WI, 539161148Browse WI providers · Browse ZIP 53916
- Phone
- 9208873171
- Fax
- 9208878662
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in BEAVER DAM, WI
| Name | Credential | NPI |
|---|---|---|
| TAMI JOE DELISLE | LPC, ATR-BC | 1609242825 |
| MRS. JEAN BLAIR MEYER | LPC-IT | 1871950022 |
| JESSICA MARIE BLATZ | — | 1528502754 |
| ELIZABETH MARIE SZALEWSKI | ATR, LPC | 1649765355 |
| WILLIAM VANSUSTEREN | MS, LPC-IT | 1063995132 |
| EMILY WORTH | — | 1467051706 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.