Individual
DAVID JEROME WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 412-3960
Mailing address
8801 LIPAN ST, THORNTON, CO 80260-4912
(303) 412-3960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11676
CO
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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