Individual
ROBERT WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
(505) 224-9779
Mailing address
912 1ST ST NW, ALBUQUERQUE, NM 87102-2355
(505) 224-9777
(505) 224-9779
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0120261
NM
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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