MEDICARE: MS. BETTY JANET WITTELS LPC

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	101YM0800X	Mental Health Counselor	0371	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	54077	OTHER	AZ	AZDJC

General Provider Information

NPI Number	:	1720177843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BETTY JANET WITTELS LPC

Provider Business Mailing Address
First Line	:	356 E KELSO ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-4745
Country	:	US
Telephone Number	:	520-622-5105
Fax Number	:	520-388-9250

Provider Business Practice Location Address
First Line	:	356 E KELSO ST
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-4745
Country	:	US
Telephone Number	:	520-622-5105
Fax Number	:	520-388-9250

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	03/08/2026

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