Individual
MICHAEL ALLEN HETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT, BA
Contact information
Practice address
MADISON EAST CTC, 5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
(608) 223-0687
Mailing address
MADISON EAST CTC, 5109 WORLD DAIRY DR, MADISON, WI 53718-3807
(608) 242-0220
(608) 223-0687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17413-130
WI
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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