Individual
MICHELLE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8717 DIMOND D CIR, ANCHORAGE, AK 99515-1931
(907) 771-0536
(907) 771-0537
Mailing address
PO BOX 110986, ANCHORAGE, AK 99511-0986
(907) 771-0536
(907) 771-0537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
664
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021093
—
AK
Enumeration date
05/25/2012
Last updated
04/21/2014
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