Individual
MRS. TANYA LETTMAN SHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMFT, CADC
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2700
Mailing address
49 KESSEL CT, MADISON, WI 53711-6275
(608) 280-2437
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11194
WI
106H00000X
Marriage & Family Therapist
608124
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43563400
—
WI
Enumeration date
05/18/2007
Last updated
08/23/2016
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