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Organization
K WHITAKER INC
Active
Organization
K WHITAKER INC
Active
Other names
Whitaker Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY WHITAKER PSY.D. (CHIEF EXECUTIVE OFFICER)
(510) 394-3911
Entity
Organization
Contact information
Practice address
433 CALLAN AVE, STE 209, SAN LEANDRO, CA 94577-4643
(510) 394-3911
Mailing address
433 CALLAN AVE, STE 209, SAN LEANDRO, CA 94577-4643
(510) 394-3911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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