Ms Anne K Witteman, LPCC, LMAC | |
4675 40th Ave S Ste 115, Fargo, ND 58104-4592 | |
(701) 478-0906 | |
(701) 478-0909 |
Full Name | Ms Anne K Witteman |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 4675 40th Ave S Ste 115, Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669880381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1738 (North Dakota) | Secondary |
101YP2500X | Counselor - Professional | 943-4-1-18-390 (North Dakota) | Primary |
Entity Name | Inner Light Counseling Services Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740861954 PECOS PAC ID: 4082057500 Enrollment ID: O20240212001632 |
Mailing Address | Practice Location Address |
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Ms Anne K Witteman, LPCC, LMAC 4675 40th Ave S Ste 115, Fargo, ND 58104-4592 Ph: (701) 478-0906 | Ms Anne K Witteman, LPCC, LMAC 4675 40th Ave S Ste 115, Fargo, ND 58104-4592 Ph: (701) 478-0906 |
Rachel A Blumhardt, Counselor Medicare: Medicare Enrolled Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057 | |
Sarah Klimek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 45th St S Ste 4a, Fargo, ND 58104 Phone: 701-532-1477 | |
Aleece Jung, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 45th St S, Fargo, ND 58104 Phone: 701-356-4384 Fax: 701-356-4383 | |
Mary Beth Stensgard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 701-261-6539 | |
Kaitlin Doyle, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057 | |
Lisa Ann Mastel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649 | |
Dale A Carrier, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400 |