| Doctor Name: | MR. JOHN HOWARD FITTELL |
| NPI Number: | 1023247103 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LSCSW |
| License Number: | 0605 |
| Business Practice Address: | 3109 W 6th St Suite B Lawrence, KS - 660493101 |
| Business Phone Number: | 7859792222 |
| Business Fax Number: | |
| Mailing Address: | 3107 Longhorn Dr, LAWRENCE |
| State: | KS |
| Postal Code: | 660491959 |
| Phone Number: | 7859792222 |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2009 |
| NPI Last Update Date: | 11/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0605 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |