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Individual

MS. ANNE K WITTEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC, LMAC

Contact information

Practice address
4675 40TH AVE S STE 115, FARGO, ND 58104-4592
(701) 478-0906
(701) 478-0909
Mailing address
4675 40TH AVE S STE 115, FARGO, ND 58104-4592
(701) 478-0906
(701) 478-0909

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1738
ND
101YP2500X
Professional Counselor
Primary
943-4-1-18-390
ND

Other

Enumeration date
07/25/2014
Last updated
03/11/2024
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