Individual
MS. BETH S WHITTEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2829 ROYAL AVE, SUITE 200, MONONA, WI 53713-1535
(608) 661-2829
(608) 661-0907
Mailing address
2829 ROYAL AVE, SUITE 200, MONONA, WI 53713-1535
(608) 661-2829
(608) 661-0907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
711
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39263600
—
WI
Enumeration date
03/10/2006
Last updated
02/27/2015
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