| Doctor Name: | MRS. ELIZABETH JEAN MARIE TOTTEN |
| NPI Number: | 1073991188 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. LLP, CAADC |
| License Number: | C-00940 |
| Business Practice Address: | 277 North St Allegan, MI - 490101138 |
| Business Phone Number: | 2696735092 |
| Business Fax Number: | |
| Mailing Address: | 1701 Forest Dr, PORTAGE |
| State: | MI |
| Postal Code: | 490026435 |
| Phone Number: | 2695981178 |
| Fax Number: | |
| NPI Enumeration Date: | 05/08/2015 |
| NPI Last Update Date: | 05/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | C-00940 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |