MEDICARE: ANGELA WITT LPCC

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
1	101YP2500X	Professional Counselor	0006351	CO
2	101YP2500X	Professional Counselor	17512	CA

General Provider Information

NPI Number	:	1679405013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA WITT LPCC

Provider Business Mailing Address
First Line	:	4836 ELMDALE DR
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-2403
Country	:	US
Telephone Number	:	719-649-1146
Fax Number	:

Provider Business Practice Location Address
First Line	:	4836 ELMDALE DR
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-2403
Country	:	US
Telephone Number	:	719-649-1146
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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