Individual provider · Type 1 NPI

Tonya Iliah Witherspoon, LPC, CSAC

Professional Counselor · Racine, WI

NPI number 1790257525 Active

Practice location

1320 Wisconsin Ave
Racine, WI 53403-1978

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X16327-132 (WI)
Professional Counselor Primary 101YP2500X6978-125 (WI)

Professional Counselor: Definition to come...

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About NPI 1790257525

Tonya Iliah Witherspoon, LPC, CSAC's National Provider Identifier is 1790257525, issued on Dec 18, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Racine, WI. The record was last updated on Oct 8, 2019.