Provider Demographics
NPI:1679392146
Name:WETEKAMP, BRITTNEY ELIZABETH (LMHCA)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ELIZABETH
Last Name:WETEKAMP
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E ULEN ST
Mailing Address - Street 2:
Mailing Address - City:FORT BRANCH
Mailing Address - State:IN
Mailing Address - Zip Code:47648-9703
Mailing Address - Country:US
Mailing Address - Phone:812-779-7803
Mailing Address - Fax:
Practice Address - Street 1:101 N PLAZA EAST BLVD STE 224
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-2806
Practice Address - Country:US
Practice Address - Phone:812-632-1273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88002590A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health