PRABHU VENKATARAMAN

BEAVER DAM, WI
NPI1558171017
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WI  8241-226)
Enumeration Date2025-01-08
Last Update Date2025-01-08
Business Address
PRABHU VENKATARAMAN LPC-IT
1807 N CENTER ST STE 204
BEAVER DAM, WI 53916-1005
Phone number: 920-887-8751
Mailing Address
PRABHU VENKATARAMAN LPC-IT
420 ELLIS ST
FOND DU LAC, WI 54935-5211
Phone number: 309-573-5154
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