Provider Demographics
NPI:1942989751
Name:RUECHEL, BONNIE JO (LPC)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:JO
Last Name:RUECHEL
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 1:1111 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54403-3098
Mailing Address - Country:US
Mailing Address - Phone:715-574-3626
Mailing Address - Fax:
Practice Address - Street 1:2102 N 6TH ST
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54403-3438
Practice Address - Country:US
Practice Address - Phone:715-574-3052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11927-125101YP2500X
WI7646226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional