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Individual

MR. RYAN WITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LIMHP, LPC

Contact information

Practice address
1811 W 2ND ST, SUITE 210, GRAND ISLAND, NE 68803-5413
(308) 675-2222
(308) 675-2223
Mailing address
1811 W 2ND ST, SUITE 210, GRAND ISLAND, NE 68803-5413
(308) 675-2222
(308) 675-2223

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2141
NE
101YM0800X
Mental Health Counselor
95
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47077707526
NE
Enumeration date
10/24/2006
Last updated
03/01/2013
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