| Ms Anne K Witteman, LPCC, LMAC | |
| 
					4675 40th Ave S Ste 115, Fargo, ND 58104-4592  | |
| (701) 478-0906 | |
| (701) 478-0909 | 
| Full Name | Ms Anne K Witteman | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Professional | 
| Location | 4675 40th Ave S Ste 115, Fargo, North Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669880381 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1738 (North Dakota) | Secondary | 
| 101YP2500X | Counselor - Professional | 943-4-1-18-390 (North Dakota) | Primary | 
| Entity Name | Inner Light Counseling Services Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1740861954 PECOS PAC ID: 4082057500 Enrollment ID: O20240212001632  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Anne K Witteman, LPCC, LMAC 4675 40th Ave S Ste 115, Fargo, ND 58104-4592 Ph: (701) 478-0906  | Ms Anne K Witteman, LPCC, LMAC 4675 40th Ave S Ste 115, Fargo, ND 58104-4592 Ph: (701) 478-0906  | 
Rachel A Blumhardt,  Counselor Medicare: Medicare Enrolled Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057  | |
Sarah Klimek,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 45th St S Ste 4a, Fargo, ND 58104 Phone: 701-532-1477  | |
Aleece Jung, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 45th St S, Fargo, ND 58104 Phone: 701-356-4384 Fax: 701-356-4383  | |
Mary Beth Stensgard,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 701-261-6539  | |
Deton Hart,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400  | |
Kaitlin Doyle, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057  | |
Lisa Ann Mastel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649  |