Individual
ASHLEY WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
708A W GIBSON ST, AUSTIN, TX 78704-2344
(409) 718-1655
Mailing address
708A W GIBSON ST, AUSTIN, TX 78704-2344
(409) 718-1655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
69766
TX
Other
Enumeration date
09/28/2011
Last updated
10/19/2021
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