Individual provider · Type 1 NPI

Shane Matthew Witzki

Professional Counselor · Liberty, MO

NPI number 1053039461 Active

Practice location

110 Westwoods Dr
Liberty, MO 64068-1181

Mailing address

1809 Shannon Dr
Liberty, MO 64068-2892

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2020024396 (MO)

Professional Counselor: Definition to come...

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About NPI 1053039461

Shane Matthew Witzki's National Provider Identifier is 1053039461, issued on Aug 22, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Liberty, MO. The record was last updated on Aug 22, 2022.