Individual provider · Type 1 NPI
Ellen Marie Wirtz, LISW
Mental Health Counselor · Misawa, JP
NPI number
1235199282
Active
Practice location
Behavioral Health Flight, Bldg 69, 35 Medical Group
Misawa, JP 96319
Fax
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 0000I7777 (OH) |
Mental Health Counselor: Definition to come...
About NPI 1235199282
Ellen Marie Wirtz, LISW's National Provider Identifier is 1235199282, issued on Mar 24, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Misawa, JP. The record was last updated on Jul 13, 2026.