Provider Demographics
NPI:1205124708
Name:KUSCH, JANET MARIE (LPC)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARIE
Last Name:KUSCH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 MAIN ST
Mailing Address - Street 2:303
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-0705
Mailing Address - Country:US
Mailing Address - Phone:608-796-1114
Mailing Address - Fax:
Practice Address - Street 1:319 MAIN ST
Practice Address - Street 2:303
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-0705
Practice Address - Country:US
Practice Address - Phone:608-796-1114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1946-125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor