Organization
COMPREHENSIVE THERAPEUTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE-MARIE FOTECK MAKONGHO LPC (LICENSED PROFESSIONAL COUNSELOR)
(608) 504-1492
Entity
Organization
Contact information
Practice address
5709 DIVINE ST, MADISON, WI 53718-9303
(608) 504-1492
Mailing address
5709 DIVINE ST, MADISON, WI 53718-9303
(608) 504-1492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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