| Doctor Name: | ERIN M WITTWER |
| NPI Number: | 1083730626 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 6803082728 |
| Business Practice Address: | 275 N Groesbeck Hwy Mount Clemens, MI - 480431546 |
| Business Phone Number: | 5864774067 |
| Business Fax Number: | 5864930740 |
| Mailing Address: | 55443 Silver Creek Ln, MACOMB |
| State: | MI |
| Postal Code: | 480422359 |
| Phone Number: | 5864774067 |
| Fax Number: | 5864930740 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6803082728 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |