Individual
MS. DANIELLE WITTINGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
620 W 44TH ST, ASHTABULA, OH 44004-6812
(440) 650-5030
Mailing address
620 W 44TH ST, ASHTABULA, OH 44004-6812
(440) 650-5030
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171889
OH
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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