Doctor Name: | YVETTE K HITTLE |
NPI Number: | 1134219504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADCIII, CSW |
License Number: | 475-120 |
Business Practice Address: | 240 Maple Street Woodruff, WI - 545680470 |
Business Phone Number: | 7153568000 |
Business Fax Number: | |
Mailing Address: | 240 Maple Street, Po Box 470 WOODRUFF |
State: | WI |
Postal Code: | 545680470 |
Phone Number: | 7153568000 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 475-120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |