Individual
CHRISTINA M WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
179 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
Mailing address
6590 STONEFLY DR, COLORADO SPRINGS, CO 80924-5217
(719) 351-9351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
102827
TX
1041C0700X
Clinical Social Worker
Primary
9927300
CO
Other
Enumeration date
10/26/2017
Last updated
07/09/2021
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