Organization
COMPLETE KETAMINE INC
Active
Other names
Complete Ketamine & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AMY WERTENBERGER LPC (CLINICAL DIRECTOR)
(734) 931-6004
Entity
Organization
Contact information
Practice address
98 WINCHESTER ST, MONROE, MI 48161-1957
(734) 731-9500
Mailing address
98 WINCHESTER ST, MONROE, MI 48161-1957
(734) 731-9500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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