De Witt, Joel

De Witt, Joel is an individual health care provider with primary practice located at 4225 101St St Unit 580302 , Pleasant Prairie WI 53158-6813. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. De Witt, Joel can be contacted via phone (262) 320-7740.

Contact Information

Primary practice address
4225 101St St Unit 580302 Pleasant Prairie WI 53158-6813
Phone: (262) 320-7740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15673-132 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C501198 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X 4756-125 Wisconsin

Profile Details

NPI number 1598091928
LBN Legal business name De Witt, Joel
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2009
Last updated May 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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