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NPI Code Detail

MEDICARE: VANESSA WITTICH

MEDICARE: VANESSA WITTICH
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

General Provider Information

NPI Number : 1275389074
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA WITTICH
Provider Business Mailing Address
First Line : 7228 CIRCLE AVE
Second Line :
City : FOREST PARK
State : IL
Zip : 60130-1163
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7228 CIRCLE AVE
Second Line :
City : FOREST PARK
State : IL
Zip : 60130-1163
Country : US
Telephone Number : 224-478-2902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2024
Last Update Date : 05/26/2026

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Directions to “ VANESSA WITTICH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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