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Complete Ketamine INC

Counselor, Mental Health in Monroe, MI. Organization (NPI-2).

NPI number1215568340
StatusActive
Last updated in NPPESJan 28, 2020

Details

NPI
1215568340
Entity type
Organization (NPI-2)
Legal business name
Complete Ketamine INC
Organization subpart
No
Enumeration date
Jan 28, 2020
Certification date
Jan 28, 2020
Last updated
Jan 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes
367500000X Nurse Anesthetist, Certified Registered––

Other names

  • Complete Ketamine & Wellness (Doing Business As)

Practice location

98 Winchester St
Monroe, MI 48161-1957

Phone 734-731-9500

Mailing address

98 Winchester St
Monroe, MI 48161-1957

Phone 734-731-9500

Authorized official

Amy Wertenberger
Clinical Director
7349316004

Is something wrong?

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