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Search › Idaho › 2085R0202X

Conrad Wittram, MBCHB

NPI 1578553483 · on the registry since 2005

Practice

Address
601 E Front Ave
Suite 502
Coeur D Alene, ID 83814
Phone
(208) 415-0556
Fax
(208) 292-3130
Organisation at this address
Ego Matters Counseling & Mediation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho