Provider Demographics
NPI:1568899318
Name:RUFENACHT, MEGAN JO (MS LPC IT)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:JO
Last Name:RUFENACHT
Suffix:
Gender:F
Credentials:MS LPC IT
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:SCHILT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N3152 STATE ROAD 81
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WI
Mailing Address - Zip Code:53566
Mailing Address - Country:US
Mailing Address - Phone:608-328-9310
Mailing Address - Fax:608-328-9480
Practice Address - Street 1:N3152 STATE ROAD 81
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WI
Practice Address - Zip Code:53566
Practice Address - Country:US
Practice Address - Phone:608-328-9310
Practice Address - Fax:608-328-9480
Is Sole Proprietor?:No
Enumeration Date:2013-10-10
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor