Individual
HENRY WHITTLESEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP,CCDCII,CDCYS
Contact information
Practice address
2530 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 312-2420
(360) 384-2349
Mailing address
2592 KWINA RD, BELLINGHAM, WA 98226-9278
(360) 384-0464
(360) 384-2336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CPOOO896
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP000896
DEPARTMENT OF HEALTH
WA
Enumeration date
05/15/2014
Last updated
05/15/2014
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