Individual
BRIAN WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPS
Contact information
Practice address
302 E 14TH ST, HISTORIC NEW CASTLE, DE 19720-4510
(302) 328-8633
Mailing address
302 E 14TH ST, HISTORIC NEW CASTLE, DE 19720-4510
(302) 328-8633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
1649
DE
Other
Enumeration date
11/28/2020
Last updated
07/15/2021
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