Witthaus, Krystal L

Witthaus, Krystal L is an individual health care provider with primary practice located at 504 N Sturgeon St , Montgomery City MO 63361-1829. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Witthaus, Krystal L can be contacted via phone (573) 564-2990.

Contact Information

Primary practice address
504 N Sturgeon St Montgomery City MO 63361-1829
Phone: (573) 564-2990
Fax: (573) 564-2963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2008028021 Missouri

Profile Details

NPI number 1851528087
LBN Legal business name Witthaus, Krystal L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2009
Last updated Oct 20th, 2020 - about 6 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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