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General NPI Number Information
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NPI Number | 1295814358
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Entity Type | Individual
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Provider Name | ANGIE DEE HOLTON WITMAN MA, LCP, LCMFT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 902 W HWY 24
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City | GOODLAND
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State | KS
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Zip | 67735-9615
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Country | US
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Telephone | 785-899-4135
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Fax | 785-899-6303
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Provider Business Mailing Address
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Address Line | 1018 ARCADE AVE
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City | GOODLAND
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State | KS
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Zip | 67735-3424
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Country | US
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Telephone | 785-899-4135
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 699
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 910
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License Number State | KS
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