Individual
DR. KIRSTIN LOUISE WHITELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.T.R.S.
Contact information
Practice address
6097 PREAKNESS STAKES LN, POWHATAN, VA 23139-7092
(330) 573-2076
Mailing address
6097 PREAKNESS STAKES LN, POWHATAN, VA 23139-7092
(330) 573-2076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
070026
OH
225800000X
Recreation Therapist
51168
OH
225800000X
Recreation Therapist
Primary
51168
VA
Other
Enumeration date
02/22/2007
Last updated
01/30/2025
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