Individual
MAX DUANE WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,PMHN,CARN,SUDP
Contact information
Practice address
4526 FEDERAL AVE # MS 11, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE # MS 11, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO 60171745
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60264607
WA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN 00124872
WA
Other
Enumeration date
03/22/2012
Last updated
07/13/2021
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