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Kyle J Prorok, LPC
Professional Counselor in Viroqua, Wisconsin
NPI 1376976738

Kyle J Prorok is a Professional Counselor based in Viola, WI and is specialized in Professional. Kyle J Prorok practices in Viroqua, WI and has the professional credentials of LPC. The NPI Number for Kyle J Prorok is 1376976738 and holds a License No. 1607-226 (Wisconsin).

The current practice location address for Kyle J Prorok is 400 Congress Ave, Viroqua, WI and can be reached out via phone at 608-632-9176 and via fax at 608-637-8000.

Location: 400 Congress Ave, Viroqua, WI, 54664-8054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376976738
Provider Name
Kyle J Prorok
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
400 Congress Ave, Viroqua, WI, 54664-8054
Phone Number
608-632-9176
Fax Number
608-637-8000
Provider Enumeration Date
08/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376976738 05 WI
institution
Provider Business Practice Location Address Details
Address
400 Congress Ave
City
Viroqua
State
Wisconsin
Zip
54665-1309
Phone Number
608-632-9176
Fax Number
608-637-8000
person
Provider Business Mailing Address Details
Address
400 Congress Ave
City
Viroqua
State
Wisconsin
Zip
54665-1309
Phone Number
608-632-9176
Fax Number
608-637-8000
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
5504-125 (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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
1607-226 (Wisconsin)
Definition
Definition to come...
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