Individual
WILLIAM VANSUSTEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC-IT
Contact information
Practice address
111 WARREN ST STE 2, BEAVER DAM, WI 53916-3084
(920) 219-4440
Mailing address
111 WARREN ST, BEAVER DAM, WI 53916-3084
(920) 219-4440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4066-226
WI
Other
Enumeration date
09/13/2018
Last updated
12/06/2023
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