Individual
CHRISTINE RENEE WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1601 W HICKORY ST, NEVADA, MO 64772-1727
(174) 489-9949
(417) 530-1438
Mailing address
1601 W HICKORY ST, NEVADA, MO 64772-1727
(417) 448-9949
(417) 530-1438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2017009484
MO
101YP2500X
Professional Counselor
Primary
2017009484
MO
Other
Enumeration date
02/02/2015
Last updated
01/09/2024
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