Individual
MRS. CHRISTINE JENNY WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
14502 NORTH DALE MABRY HWY, SUITE#200, TAMPA, FL 33618-2746
(813) 240-0855
(727) 800-1854
Mailing address
14502 NORTH DALE MABRY HWY, SUITE#200, TAMPA, FL 33618-2746
(813) 240-0855
(727) 800-1854
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT3108
FL
251S00000X
Community/Behavioral Health Agency
MT3018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023910300
—
FL
Enumeration date
11/24/2010
Last updated
06/11/2019
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