Individual provider · Type 1 NPI
Makena Lizabeth Detlor, LPC-IT
Mental Health Counselor · Wisconsin Rapids, WI
NPI number
1336845817
Active
Practice location
320 W Grand Ave Ste 304A
Wisconsin Rapids, WI 54495-2781
Mailing address
443 Strodman Ave
Wisconsin Rapids, WI 54494-5934
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 7240-226 (WI) |
Mental Health Counselor: Definition to come...
4 other providers at this address
- Erin Johnson, LPC-ITMental Health Counselor Wisconsin Rapids, WI NPI 1881069052
- Jessa Brynn Quick Voelker, ED.S.Mental Health Counselor Wisconsin Rapids, WI NPI 1689456014
- Kathleen Joy DutterProfessional Counselor Wisconsin Rapids, WI NPI 1033923321
- Roger Dale Pagel, MSE, LCSWClinical Social Worker Wisconsin Rapids, WI NPI 1609942903
Other mental health counselor providers in Wisconsin Rapids
- Felicia B. Smith, LPCMental Health Counselor Wisconsin Rapids, WI NPI 1093500035
- Thomas Michael Surendonk, MSSWMental Health Counselor Wisconsin Rapids, WI NPI 1134292709
- Constance K. Virnig, LPCMental Health Counselor Wisconsin Rapids, WI NPI 1174895809
- Jaimie Jo AndersonMental Health Counselor Wisconsin Rapids, WI NPI 1245920784
- Sadie Graveen, LPC-ITMental Health Counselor Wisconsin Rapids, WI NPI 1336800804
- Marjorie Ann Debevec-Marksteiner, MSMental Health Counselor Wisconsin Rapids, WI NPI 1447556998
- Andrea Lynn Paulin, LPCMental Health Counselor Wisconsin Rapids, WI NPI 1609569367
- Jessa Brynn Quick Voelker, ED.S.Mental Health Counselor Wisconsin Rapids, WI NPI 1689456014
About NPI 1336845817
Makena Lizabeth Detlor, LPC-IT's National Provider Identifier is 1336845817, issued on Feb 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wisconsin Rapids, WI. The record was last updated on Feb 6, 2023.