Prabhu Venkataraman, LPC-IT
NPI #1558171017 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1558171017
- Entity Type
- Individual
- Name
- Prabhu Venkataraman, LPC-IT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC-IT
- Enumeration Date
- Jan 8, 2025
- Last Updated
- Jan 8, 2025
Practice Location
- Address
- 1807 N CENTER ST STE 204
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-1005
- Phone
- (920) 887-8751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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