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Individual

DR. JEANNE PATRICIA WITTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC, LISAC

Contact information

Practice address
17505 N 79TH AVE, SUITE 410D, GLENDALE, AZ 85308-8725
(623) 340-1020
Mailing address
13839 N DRIFTWOOD PT, SUN CITY, AZ 85351-2309
(623) 340-1020

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11849
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-12942
AZ

Other

Enumeration date
05/28/2013
Last updated
05/28/2013
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