Individual
ELLEN L WITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 HILLTOP VILLAGE CENTER DR, EUREKA, MO 63025-1105
(314) 960-3173
Mailing address
176 WALDEN DR, EUREKA, MO 63025-1196
(314) 960-3173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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