Individual
HOLLY S WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1360 ENERGY PARK DR STE 330, SAINT PAUL, MN 55108-5298
(651) 439-2059
(888) 675-8262
Mailing address
588 101ST AVE N, NAPLES, FL 34108-3201
(651) 439-2059
(888) 675-8262
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01515
MN
101YP1600X
Pastoral Counselor
E0008095
OH
101YP2500X
Professional Counselor
E0008095
OH
Other
Enumeration date
02/17/2007
Last updated
11/05/2020
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