Individual
WESLEY WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
105 CONTINENTAL PL STE 105, BRENTWOOD, TN 37027-1052
(928) 202-9155
Mailing address
PO BOX 311, BRENTWOOD, TN 37024-0311
(928) 202-9155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7095
TN
Other
Enumeration date
05/03/2021
Last updated
07/05/2024
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