Individual
GLEN ELMER WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC-CS
Contact information
Practice address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 740-5709
(419) 740-7323
Mailing address
1044 ROSEDALE ST, MAUMEE, OH 43537-3242
(419) 320-3845
(419) 824-1754
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
965768
OH
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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