Doctor Name: | MS. KAREN RUSCH |
NPI Number: | 1184856528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSAC, LICS |
License Number: | 11781-135 |
Business Practice Address: | 100 Polk County Plz Suite 50 Balsam Lake, WI - 548109071 |
Business Phone Number: | 7154858464 |
Business Fax Number: | 7154858490 |
Mailing Address: | 100 Polk County Plz, Suite 50 BALSAM LAKE |
State: | WI |
Postal Code: | 548109071 |
Phone Number: | 7154858464 |
Fax Number: | 7154858490 |
NPI Enumeration Date: | 08/19/2009 |
NPI Last Update Date: | 08/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 11781-135 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |