Individual
PAUL WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1329 MACKLIND AVE, SAINT LOUIS, MO 63110-1403
(314) 685-9335
Mailing address
1329 MACKLIND AVE, SAINT LOUIS, MO 63110-1403
(314) 685-9335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
201412391
MO
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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