Individual
MR. JOHN R WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
4091 NE CHERI DR, JENSEN BEACH, FL 34957-3819
(772) 334-8343
Mailing address
4091 NE CHERI DR, JENSEN BEACH, FL 34957-3819
(772) 334-8343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/08/2018
Last updated
04/08/2018
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