Individual
KIM WITKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5407 N CHARLES ST, BALTIMORE, MD 21210-2024
(410) 433-8861
Mailing address
5407 N CHARLES ST, BALTIMORE, MD 21210-2024
(410) 433-8861
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4011
MD
101YP2500X
Professional Counselor
LPC1807
SC
101YP2500X
Professional Counselor
PRC14162
DC
Other
Enumeration date
09/07/2011
Last updated
10/19/2023
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