Individual
MARK STEVEN WHITINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LCPC
Contact information
Practice address
504 MAIN ST STE 132, LEWISTON, ID 83501-1869
(208) 289-1227
(208) 289-1227
Mailing address
504 MAIN ST STE 132, LEWISTON, ID 83501-1869
(208) 289-1227
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9464
ID
Other
Enumeration date
03/12/2013
Last updated
09/27/2023
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