Individual
MS. DEBORAH WITTEKIND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
24 SUMMERWOOD RD, HOLBROOK, NY 11741-5612
(631) 472-2851
(631) 472-2851
Mailing address
24 SUMMERWOOD RD, HOLBROOK, NY 11741-5612
(631) 472-2851
(631) 472-2851
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10681
NY
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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