Individual
MR. KEN W KUSCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
112 S MADISON AVE, AURORA, MO 65605-1427
(417) 678-6233
(417) 847-1765
Mailing address
711 CRESTVIEW DR, MONETT, MO 65708-1510
(417) 229-2548
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002026260
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11408272
CAQH
MO
05
—
495100174
—
MO
Enumeration date
11/04/2005
Last updated
09/25/2023
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