Individual
CARL WHITTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
485 W MAIN ST, WILMINGTON, OH 45177-2174
(513) 834-7063
(513) 873-1567
Mailing address
1237 FOX HOLLOW DR, LEBANON, OH 45036-7846
(513) 288-0637
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.172951
OH
Other
Enumeration date
03/04/2020
Last updated
03/18/2020
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