Individual
RITA WICHTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 STODDARD RD., MEMPHIS, MI 41038-1038
(810) 392-2167
(810) 392-2057
Mailing address
51360 PINEWOOD DR, MACOMB, MI 48042-4219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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