Individual
TANYA WITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, LMT
Contact information
Practice address
2970 N SWAN RD STE 221, TUCSON, AZ 85712-6023
(520) 525-1932
Mailing address
3206 N CHERRY AVE, TUCSON, AZ 85719-2218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22791
AZ
225700000X
Massage Therapist
MT-08646
AZ
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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