Individual
MADISON ROSE WITSCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LADC
Contact information
Practice address
404 W SUPERIOR ST STE 210, DULUTH, MN 55802-1569
(218) 606-1100
Mailing address
1217 E 9TH ST, DULUTH, MN 55805-1608
(218) 780-1728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305711
MN
101YP2500X
Professional Counselor
Primary
2819
MN
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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