Individual provider · Type 1 NPI
Jackie Lee Wittrock
Counselor · Holstein, IA
NPI number
1114842945
Active
Practice location
5445 170th St
Holstein, IA 51025-8053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 139686 (IA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1114842945
Jackie Lee Wittrock's National Provider Identifier is 1114842945, issued on Aug 11, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Holstein, IA. The record was last updated on Aug 11, 2026.