SearchMichigan1041C0700X

Diane Witzel, LMSW

NPI 1952967853 · on the registry since 2019

Practice

Address
800 E Milham Ave Ste 200
Portage, MI 49002
Phone
(269) 249-7179
Fax
(269) 459-7149
Organisation at this address
Logan Stout Therapy Services,Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-02

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 Michigan