| Kyle J Prorok, LPC | |
|
400 Congress Ave, Viroqua, WI 54665-1309 | |
| (608) 632-9176 | |
| (608) 637-8000 |
| Full Name | Kyle J Prorok |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 400 Congress Ave, Viroqua, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376976738 | NPI | - | NPPES |
| 1376976738 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 1607-226 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 5504-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle J Prorok, LPC E10671 Gore Hollow Rd, Viola, WI 54664-8054 Ph: (608) 632-9176 | Kyle J Prorok, LPC 400 Congress Ave, Viroqua, WI 54665-1309 Ph: (608) 632-9176 |
Joanna Marie Fanning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500 | |
Ms. Laura Carol Cavanaugh, LPCC, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500 | |
Ms. Rita Gould Berkley, MAET , ATR, DT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500 | |
Barbara K Welsh, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-637-8500 | |
Holly Dwyer, LPC-IT Counselor Medicare: Medicare Enrolled Practice Location: 507 S Main St, Viroqua, WI 54665 Phone: 608-637-2101 | |
Mr. Patrick K Kelley, CSAC,ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1321 N Main St, Viroqua, WI 54665 Phone: 608-637-7052 Fax: 608-785-0002 | |
Mark Sandberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 E Jefferson St, Viroqua, WI 54665 Phone: 608-632-3286 |