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Individual

SETH OKETCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSAC

Contact information

Practice address
5735 DURAND AVE STE A, MOUNT PLEASANT, WI 53406-5011
(262) 598-1392
(262) 598-1395
Mailing address
5735 DURAND AVE STE A, MOUNT PLEASANT, WI 53406-5011
(262) 598-1392
(262) 598-1395

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16048-132
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
28040
NY

Other

Enumeration date
01/16/2017
Last updated
01/16/2017
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