| Doctor Name: | MR. JOHN PLEUGERS |
| NPI Number: | 1083027577 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. LPC |
| License Number: | 5319-125 |
| Business Practice Address: | W9850 Airport Road Black River Falls, WI - 546159998 |
| Business Phone Number: | 7152849851 |
| Business Fax Number: | 7152843434 |
| Mailing Address: | W9850 Airport Road Pob 918, BLACK RIVER FALLS |
| State: | WI |
| Postal Code: | 546159998 |
| Phone Number: | 7152849851 |
| Fax Number: | 7152843434 |
| NPI Enumeration Date: | 06/03/2014 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 5319-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |