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NPI Code Detail

MEDICARE: VIRGINIA L WITTMAN SAC-IT, IMHC

MEDICARE:   VIRGINIA L WITTMAN  SAC-IT, IMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1215882626
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIRGINIA L WITTMAN SAC-IT, IMHC
Provider Business Mailing Address
First Line : 3945 TOWER RD
Second Line :
City : HIGHLAND
State : WI
Zip : 53543-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 204 S ORANGE ST
Second Line :
City : RICHLAND CENTER
State : WI
Zip : 53581-2170
Country : US
Telephone Number : 608-438-4924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ VIRGINIA L WITTMAN SAC-IT, IMHC” Practice Location

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