Individual
BRANDILYNN WITTSTRUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S.,NCSP
Contact information
Practice address
2711 W 15TH ST, PANAMA CITY, FL 32401-1366
(850) 769-6001
Mailing address
130 GLADES TURN, PANAMA CITY BEACH, FL 32407-2461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/03/2013
Last updated
11/03/2013
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