Individual
LAURA ANN WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2215 COURT ST, PORT HURON, MI 48060-4937
(810) 987-1311
(810) 985-2150
Mailing address
3415 28TH ST, PORT HURON, MI 48060-6931
(810) 987-5300
(810) 985-2150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801086531
MI
Other
Enumeration date
09/01/2006
Last updated
03/14/2023
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