Individual
ANTONIA WITTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
516 N KAWEAH AVE, EXETER, CA 93221-1200
(559) 594-4969
Mailing address
516 N KAWEAH AVE, EXETER, CA 93221-1200
(559) 594-4969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
69034
CA
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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