Individual
KAY M RUTHERFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
128 6TH ST S, LA CROSSE, WI 54601-4104
(608) 782-0710
(608) 782-0702
Mailing address
PO BOX 1127, SHEBOYGAN, WI 53082-1127
(920) 457-6750
(920) 457-8350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40981200
—
WI
Enumeration date
06/03/2006
Last updated
09/11/2025
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