Mr. Patrick John Witri
Counseling Psychologist Cognitive & Behavioral Psychologist Addiction Psychologist (Substance Use Disorder)
455 Cherry St Se Suite O
Grand Rapids
, Michigan 49503-4658
Mr. Patrick John Witri
Counseling Psychologist Cognitive & Behavioral Psychologist Addiction Psychologist (Substance Use Disorder)
455 Cherry St Se Suite O
Grand Rapids
, Michigan 49503-4658
(616) 301-3494
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Cognitive & Behavioral Psychologist
- Counseling Psychologist
Languages spoken
- English
Location
First Address
- Mr. Patrick John Witri
- 455 Cherry St Se Suite O
- Grand Rapids, MI
- Zip : 49503-4658
- Fax : (616) 301-3494
- Phone : (616) 774-2660
Second Address
- Mr. Patrick John Witri
- 455 Cherry St Se Suite O
- Grand Rapids, MI
- Zip : 49503-4658
- Fax : (616) 301-3494
- Phone : (616) 774-2660
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 6301009592 | MI |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 6301009592 | MI |
| N | 103TC1900X | Counseling Psychologist | 6301009592 | MI |
National Provider Identifier
| NPI | 1568667400 |
|---|---|
| Provider Name | Mr. Patrick John Witri |
| First Address | Grand Rapids, MI 49503-4658 |
| Second Address | Grand Rapids, MI 49503-4658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2007 |
| Last Update Date | 07/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1036 | NATIONALLY CERTIFIED GAMBLING COUNSELOR, LEVEL II (01) | |
| 6301009592 | LIMITED LICENSE PSYCHOLOGIST (01) | MI |
| C-00601 | CERTIFIED ADVANCED ALCOHOL AND DRUG COUNSELOR (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.