Individual
DANIELLE WITTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 MAIN ST, SPARTA, NJ 07871-1937
(862) 268-3101
Mailing address
202 ROCKAWAY AVE, ROCKAWAY, NJ 07866-3909
(973) 216-4649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00306800
NJ
104100000X
Social Worker
44SL065586
NJ
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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