Individual
SETH KWESI TETTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6602 15TH AVE, KENOSHA, WI 53143-4911
(512) 985-4042
Mailing address
6602 15TH AVE, KENOSHA, WI 53143-4911
(512) 985-4042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8277226
WI
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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