| Makena Lizabeth Detlor, LPC-IT | |
|
320 W Grand Ave Ste 304a, Wisconsin Rapids, WI 54495-2781 | |
| (715) 424-6960 | |
| Not Available |
| Full Name | Makena Lizabeth Detlor |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 320 W Grand Ave Ste 304a, Wisconsin Rapids, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336845817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7240-226 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Makena Lizabeth Detlor, LPC-IT 443 Strodman Ave, Wisconsin Rapids, WI 54494-5934 Ph: (608) 338-3335 | Makena Lizabeth Detlor, LPC-IT 320 W Grand Ave Ste 304a, Wisconsin Rapids, WI 54495-2781 Ph: (715) 424-6960 |
Louanne Pufall, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8844 Fax: 715-421-2266 | |
Thomas Michael Surendonk, MSSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 | |
Karalee Flinders, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 3rd St S, Wisconsin Rapids, WI 54494 Phone: 715-712-1370 | |
Ms. Sandra Holmes, MS, CSAC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 420 Dewey St, Wisconsin Rapids, WI 54494 Phone: 715-847-2772 | |
Ms. Constance K Virnig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 1st Ave S, Po 1535, Wisconsin Rapids, WI 54495 Phone: 715-424-3400 Fax: 715-424-3441 | |
Mrs. Janelle Kathleen Hafermann, LPC, CSAC, ICS Counselor Medicare: Medicare Enrolled Practice Location: 320 W Grand Ave Ste 204, Wisconsin Rapids, WI 54495 Phone: 715-421-1107 Fax: 715-421-1108 | |
Tracy Renderman, SAC, IDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2611 12th St S, Wisconsin Rapids, WI 54494 Phone: 715-421-8869 |