Provider Demographics
NPI:1326340233
Name:FOX WARNECKE, BETH (MS LMFT)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:
Last Name:FOX WARNECKE
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23295 US HWY 14
Mailing Address - Street 2:
Mailing Address - City:RICHLAND CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:53581-8911
Mailing Address - Country:US
Mailing Address - Phone:608-647-4705
Mailing Address - Fax:
Practice Address - Street 1:23295 US HWY 14
Practice Address - Street 2:
Practice Address - City:RICHLAND CENTER
Practice Address - State:WI
Practice Address - Zip Code:53581-8911
Practice Address - Country:US
Practice Address - Phone:608-647-4705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI878124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist