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Kathryn P Vandusartz, MSLPC
Counselor in Ellsworth, Wisconsin
NPI 1285706192

Kathryn P Vandusartz is a Counselor based in Ellsworth, WI. Kathryn P Vandusartz practices in Ellsworth, WI and has the professional credentials of MSLPC. The NPI Number for Kathryn P Vandusartz is 1285706192 and holds a License No. 2663-125 (Wisconsin).

The current practice location address for Kathryn P Vandusartz is 412 W Kinne St, Ellsworth, WI and can be reached out via phone at 715-273-6770 and via fax at 715-273-6862.

Location: 412 W Kinne St, Ellsworth, WI, 54011-0670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285706192
Provider Name
Kathryn P Vandusartz
Credential
MSLPC
Provider Entity Type
Individual
Gender
Female
Address
412 W Kinne St, Ellsworth, WI, 54011-0670
Phone Number
715-273-6770
Fax Number
715-273-6862
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39748600 05 WI
09G64HA 01 MN BLUE CROSS BLUE SHIELD
HP70350 01 MN HEALTHPARTNERS
920461021644 01 MN PREFERRED ONE
institution
Provider Business Practice Location Address Details
Address
412 W Kinne St
City
Ellsworth
State
Wisconsin
Zip
54011
Phone Number
715-273-6770
Fax Number
715-273-6862
person
Provider Business Mailing Address Details
Address
412 W Kinne St
City
Ellsworth
State
Wisconsin
Zip
54011
Phone Number
715-273-6770
Fax Number
715-273-6862
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2663-125 (Wisconsin)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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