Individual
BETHANY R FUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6515 WATTS RD, STE 206, MADISON, WI 53719-2726
(608) 238-5826
(608) 238-1221
Mailing address
6515 WATTS RD, STE 206, MADISON, WI 53719-2726
(608) 238-5826
(608) 238-1221
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4242-125
WI
Other
Enumeration date
12/17/2007
Last updated
06/02/2015
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