Individual provider · Type 1 NPI
Joel De Witt, LPC
Professional Counselor · Pleasant Prairie, WI
NPI number
1598091928
Active
Practice location
4225 101st St Unit 580302
Pleasant Prairie, WI 53158-6813
Mailing address
4225 101st St # 580302
Pleasant Prairie, WI 53158-9997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15673-132 (WI) |
| Mental Health Counselor | 101YM0800X | C501198 (OH) |
| Professional Counselor Primary | 101YP2500X | 4756-125 (WI) |
Professional Counselor: Definition to come...
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About NPI 1598091928
Joel De Witt, LPC's National Provider Identifier is 1598091928, issued on Oct 20, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Pleasant Prairie, WI. The record was last updated on May 28, 2020.