| Doctor Name: | CLIFFORD J. KUSTER |
| NPI Number: | 1073942850 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 3241-125 |
| Business Practice Address: | 705 Bay Street Suite 2e Chippewa Falls, WI - 547291896 |
| Business Phone Number: | 7152107975 |
| Business Fax Number: | 7157207715 |
| Mailing Address: | 203 United Way, FREDERIC |
| State: | WI |
| Postal Code: | 548378938 |
| Phone Number: | 7153274322 |
| Fax Number: | 7153278509 |
| NPI Enumeration Date: | 11/02/2013 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3241-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |