Individual provider · Type 1 NPI
Glen Elmer Witt, LICDC-CS
Addiction (Substance Use Disorder) Counselor · Toledo, OH
NPI number
1245969112
Active
Practice location
6629 W Central Ave
Toledo, OH 43617-1098
Fax (419) 740-7323
Mailing address
1044 Rosedale St
Maumee, OH 43537-3242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 965768 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1245969112
Glen Elmer Witt, LICDC-CS's National Provider Identifier is 1245969112, issued on Jun 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Jun 7, 2022.