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Individual

MRS. KARI WITTMANN LATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, LCPC

Contact information

Practice address
1935 BROOKDALE RD, SUITE 119, NAPERVILLE, IL 60563-2771
(630) 717-9408
(630) 778-9490
Mailing address
1S080 E. MALLORY DR., GENEVA, IL 60134-1527
(630) 845-8847

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
180005863
IL
106H00000X
Marriage & Family Therapist
Primary
166000586
IL

Other

Enumeration date
02/28/2007
Last updated
12/22/2011
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