Individual provider · Type 1 NPI

Ives Kenneth Wittman, LPCC

Mental Health Counselor · Minneapolis, MN

NPI number 1356949432 Active

Practice location

1828 Jefferson St NE
Minneapolis, MN 55418-4427

Call (651) 245-0417 Map

Mailing address

767 Heinel Dr
Roseville, MN 55113-2152

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC02438 (MN)

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About NPI 1356949432

Ives Kenneth Wittman, LPCC's National Provider Identifier is 1356949432, issued on Oct 12, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 12, 2020.