Organization
OPEN BOOK COUNSELING WI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYN PROUTY LPC-IT (LPC-IT)
(262) 290-6438
Entity
Organization
Contact information
Practice address
405 E FOREST ST, OCONOMWOC, WI 53066
(262) 290-6438
Mailing address
405 E FOREST ST, OCONOMWOC, WI 53066
(262) 290-6438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
03/12/2025
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