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Individual
HENRY WHITTLESEY
Active
Individual
HENRY WHITTLESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP,CCDCII,CDCYS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CPOOO896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP000896
DEPARTMENT OF HEALTH
WA
Enumeration date
05/15/2014
Last updated
05/15/2014
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