JOHN EDWARD WITTKOPP

AUSTIN, MN
NPI1306138599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  300613)
Enumeration Date2011-05-06
Last Update Date2011-05-06
Business Address
JOHN EDWARD WITTKOPP BA LADC
1000 1ST DR NW
AUSTIN, MN 55912-2941
Phone number: 507-434-1928
Mailing Address
JOHN EDWARD WITTKOPP BA LADC
1000 1ST DR NW
AUSTIN, MN 55912-2941
Phone number: 507-434-1928