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Individual
NATHAN WHITING
Active
Individual
NATHAN WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15915-132
WI
101YP2500X
Professional Counselor
Primary
6013125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437602786
—
WI
Enumeration date
08/03/2016
Last updated
04/12/2023
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