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Contact Information

KATHRYN P VANDUSARTZ, MS LPC
412 W KINNE ST
ELLSWORTH, WI54011
 Phone: 715-273-6770
 Fax: 715-273-6862
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for KATHRYN P VANDUSARTZ · (Female)

NPI # 1285706192
Status Active
Credentials MS LPC
Entity Individual
Enumeration date 11/15/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2663-125
  • WI Medicaid 39748600
  • MN Other 09G64HA BLUE CROSS BLUE SHIELD
  • MN Other HP70350 HEALTHPARTNERS
  • MN Other 920461021644 PREFERRED ONE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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