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Individual

WILLIAM A DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC, LPC

Contact information

Practice address
649 CHAMBERLIN AVE., LAWRENCEBURG, KY 40342
(859) 214-1686
(502) 875-1686
Mailing address
649 CHAMBERLIN AVE., LAWRENCEBURG, KY 40342
(859) 214-1686
(502) 875-1686

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
284449
KY
101YM0800X
Mental Health Counselor
LH00005905
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
910598103
TAX IDENTIFICATION NUMBER
WA
Enumeration date
03/05/2007
Last updated
11/03/2024
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