JERRY WAYNE WITTMAN M.A. NPI 1215086244

NPI Information

NPI: 1215086244
Provider Name: JERRY WAYNE WITTMAN, M.A.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
626 HUMBOLDT ST
RENO, NV
ZIP 89509
Phone: (775) 322-2904
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Jerry Wayne Wittman, M.A. is an addiction (substance use disorder) counselor in Reno, NV. Jerry Wayne Wittman, M.A. NPI is 1215086244. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

626 HUMBOLDT ST
RENO, NV
ZIP 89509-606
Phone: (775) 322-2904
Fax: (775) 329-6741

The enumeration date for this NPI number is 1/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	454-L	NEVADA	Yes
2	106H00000X	Marriage & Family Therapist		0827	NEVADA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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