| Complete Ketamine Inc | |
|
98 Winchester St Monroe MI 48161-1957 | |
| (734) 731-9500 | |
| Not Available |
| Full Name | Complete Ketamine Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 98 Winchester St, Monroe, Michigan |
| Authorized Official Name and Position | Amy Wertenberger (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7349316004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Ketamine Inc 98 Winchester St Monroe MI 48161-1957 Ph: (734) 731-9500 | Complete Ketamine Inc 98 Winchester St Monroe MI 48161-1957 Ph: (734) 731-9500 |
| NPI Number | 1215568340 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215568340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
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