Complete Ketamine Inc | |
98 Winchester St Monroe MI 48161-1957 | |
(734) 731-9500 | |
Not Available |
Full Name | Complete Ketamine Inc |
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Speciality | Counselor - Mental Health |
Location | 98 Winchester St, Monroe, Michigan |
Authorized Official Name and Position | Amy Wertenberger (CLINICAL DIRECTOR) |
Authorized Official Contact | 7349316004 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Complete Ketamine Inc 98 Winchester St Monroe MI 48161-1957 Ph: (734) 731-9500 | Complete Ketamine Inc 98 Winchester St Monroe MI 48161-1957 Ph: (734) 731-9500 |
NPI Number | 1215568340 |
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Provider Enumeration Date | 01/28/2020 |
Last Update Date | 01/28/2020 |
Certification Date | 01/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215568340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
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