Individual
KIM A RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSE, LPC
Contact information
Practice address
519 N US HIGHWAY 141, CRIVITZ, WI 54114-1639
(715) 330-3738
(715) 430-2243
Mailing address
W9994 GETAWAY LN, CRIVITZ, WI 54114-8236
(920) 321-4002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3255125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43565700
—
WI
Enumeration date
10/31/2006
Last updated
06/04/2025
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