Individual provider · Type 1 NPI
John Edward Wittkopp, BA LADC
Addiction (Substance Use Disorder) Counselor · Austin, MN
NPI number
1306138599
Active
Practice location
1000 1st Dr NW
Austin, MN 55912-2941
Fax (507) 434-1927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300613 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1306138599
John Edward Wittkopp, BA LADC's National Provider Identifier is 1306138599, issued on May 6, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, MN. The record was last updated on May 6, 2011.