Individual
KENNETH MARTIN LITWAK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(480) 971-4935
Mailing address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(480) 971-4935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00155100
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00329900
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LIAC-155316
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/23/2021
Last updated
04/17/2026
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