Individual
THOMAS WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 E GURLEY ST, PRESCOTT, AZ 86301-3244
(928) 925-9297
Mailing address
917 E GURLEY ST, PRESCOTT, AZ 86301-3244
(928) 925-9297
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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