Individual
MRS. KAREN MELIZA WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
17 12TH AVENUE SO, SUITE 204, NAMPA, ID 83681
(208) 463-9450
(208) 465-9072
Mailing address
17 12TH AVENUE SO, SUITE 204, NAMPA, ID 83681
(208) 463-9450
(208) 465-9072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCPC 301
ID
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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