Individual
KATIE J PRUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
16535 W BLUEMOUND RD STE 305, BROOKFIELD, WI 53005-5936
(800) 438-1772
(262) 293-9737
Mailing address
W175N11120 STONEWOOD DR, GERMANTOWN, WI 53022-6511
(800) 438-1772
(262) 293-9727
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3620-226
WI
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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