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Michael C Dewitt
Professional Counselor in Gardena, California
NPI 1154016277

Michael C Dewitt is a Professional Counselor based in Santa Monica, CA and is specialized in Professional. Michael C Dewitt practices in Gardena, CA. The NPI Number for Michael C Dewitt is 1154016277 and holds a License No. 101844 (California).

The current practice location address for Michael C Dewitt is 15320 S Wilton Pl, Gardena, CA and can be reached out via phone at 310-409-4948.

Location: 15320 S Wilton Pl, Gardena, CA, 90403-1101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154016277
Provider Name
Michael C Dewitt
Credential
Provider Entity Type
Individual
Gender
Male
Address
15320 S Wilton Pl, Gardena, CA, 90403-1101
Phone Number
310-409-4948
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15320 S Wilton Pl
City
Gardena
State
California
Zip
90249-4247
Phone Number
310-409-4948
Fax Number
person
Provider Business Mailing Address Details
Address
15320 S Wilton Pl
City
Gardena
State
California
Zip
90249-4247
Phone Number
310-409-4948
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
101844 (California)
Definition
Definition to come...
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