Individual
CONNIE BITTORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC
Contact information
Practice address
3130 N DIXIE HWY, TROY, OH 45373-1337
(937) 440-7001
(937) 440-7076
Mailing address
3130 N DIXIE HWY, TROY, OH 45373-1337
(937) 440-7001
(937) 440-7076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
041057
OH
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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