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NPI 1215882626

NPI 1215882626 : VIRGINIA L WITTMAN SAC-IT, IMHC : RICHLAND CENTER, WI

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General NPI Number Information
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    NPI Number           |    1215882626
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    Entity Type          |    Individual 
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    Provider Name        |    VIRGINIA L WITTMAN SAC-IT, IMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/02/2026
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    Last Update Date     |    03/02/2026
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Provider Practice Location Address
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    Address Line         |    204 S ORANGE ST 
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    City                 |    RICHLAND CENTER
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    State                |    WI
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    Zip                  |    53581-2170
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    Country              |    US
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    Telephone            |    608-438-4924
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3945 TOWER RD 
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    City                 |    HIGHLAND
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    State                |    WI
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    Zip                  |    53543-9305
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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