Witherspoon, Tonya Iliah

Witherspoon, Tonya Iliah is an individual health care provider with primary practice located at 1320 Wisconsin Ave , Racine WI 53403-1978. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Witherspoon, Tonya Iliah can be contacted via phone (262) 687-2222.

Contact Information

Primary practice address
1320 Wisconsin Ave Racine WI 53403-1978
Phone: (262) 687-2222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16327-132 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 6978-125 Wisconsin

Profile Details

NPI number 1790257525
LBN Legal business name Witherspoon, Tonya Iliah
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2018
Last updated Oct 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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