Individual
JAHMALL WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3400 S WASHINGTON RD, SAGINAW, MI 48601-4958
(989) 755-1072
Mailing address
8759 CLINTON MACON RD, CLINTON, MI 49236-9569
(989) 755-1072
(989) 755-1401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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