person
Tonya Iliah Witherspoon, LPC,CSAC
Professional Counselor in Racine, Wisconsin
NPI 1790257525

Tonya Iliah Witherspoon is a Professional Counselor based in Racine, WI and is specialized in Professional. Tonya Iliah Witherspoon practices in Racine, WI and has the professional credentials of LPC,CSAC. The NPI Number for Tonya Iliah Witherspoon is 1790257525 and holds a License No. 16327-132 (Wisconsin).

The current practice location address for Tonya Iliah Witherspoon is 1320 Wisconsin Ave, Racine, WI and can be reached out via phone at 262-687-2222.

Location: 1320 Wisconsin Ave, Racine, WI, 53403-1978
person
Provider Profile Details
NPI Number
1790257525
Provider Name
Tonya Iliah Witherspoon
Credential
LPC,CSAC
Provider Entity Type
Individual
Gender
Female
Address
1320 Wisconsin Ave, Racine, WI, 53403-1978
Phone Number
262-687-2222
Fax Number
Provider Enumeration Date
12/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1320 Wisconsin Ave
City
State
Zip
53403-1978
Phone Number
262-687-2222
Fax Number
person
Provider Business Mailing Address Details
Address
1320 Wisconsin Ave
City
State
Zip
53403-1978
Phone Number
262-687-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6978-125 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
16327-132 (Wisconsin)
Definition
Definition to come...
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