Makena Lizabeth Detlor, LPC-IT
Makena Lizabeth Detlor, LPC-IT is a Mental Health Counselor in Wisconsin Rapids, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2023
Practice location Address checks out
320 W Grand Ave Ste 304AWisconsin Rapids, WI 54495-2781
Phone: (715) 424-6960
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 7240-226 (WI) |
|---|
Record details
| NPI number | 1336845817 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPC-IT |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2023 |
| Last updated in NPPES | February 6, 2023 |
| Certification date | February 6, 2023 |
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