| Kenneth Lamar Prust, LCSW | |
|
1200 N Center St, Beaver Dam, WI 53916-1148 | |
| (920) 887-3171 | |
| (920) 887-8662 |
| Full Name | Kenneth Lamar Prust |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1200 N Center St, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134113178 | NPI | - | NPPES |
| 43579800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 6795-123 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Lamar Prust, LCSW N7377 Malibou Ln, Beaver Dam, WI 53916-9534 Ph: (920) 887-2517 | Kenneth Lamar Prust, LCSW 1200 N Center St, Beaver Dam, WI 53916-1148 Ph: (920) 887-3171 |
Mary Jo Pleuss, CSW, ICS, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 N Center St, Beaver Dam, WI 53916 Phone: 920-887-1766 Fax: 920-887-2322 | |
William Vansusteren, MS, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 111 Warren St Ste 2, Beaver Dam, WI 53916 Phone: 920-219-4440 | |
Kayla Margaret Waldschmidt, MSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N Center St, Lower Level-suite A, Beaver Dam, WI 53916 Phone: 920-887-3172 | |
Mrs. Karla F Willis, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 N Lincoln Ave, Beaver Dam, WI 53916 Phone: 920-887-8751 Fax: 920-887-3977 | |
Mrs. Carla Jean Cartwright, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 N. Lincoln Avenue, Beaver Dam, WI 53916 Phone: 920-887-8751 Fax: 920-887-3977 | |
Julee A Fitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1807 N Center St, Beaver Dam, WI 53916 Phone: 920-344-2023 |