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Individual

CHRISTOPHER PAUL DEWITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA, C.A.P., CPRP

Contact information

Practice address
555 31ST ST S, ST PETERSBURG, FL 33712-1422
(727) 209-2456
(727) 209-0297
Mailing address
555 31ST ST S, ST PETERSBURG, FL 33712-1422
(727) 209-2456
(727) 209-0297

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
164942
CERTIFIED PSYCHIATRIC REHABILITATION PRACTITIONER
FL
01
1812
CERTIFIED ADDICTION PROFESSIONAL
FL
Enumeration date
09/16/2013
Last updated
09/16/2013
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