Individual
NATHAN WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CSAC
Contact information
Practice address
405 E. LASALLE AVE., BARRON, WI 54812
(715) 296-3840
(715) 637-5749
Mailing address
PO BOX 142, 405 E. LASALLE AVE., BARRON, WI 54812-0142
(715) 296-3840
(715) 637-5749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15915-132
WI
101YP2500X
Professional Counselor
Primary
6013125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437602786
—
WI
Enumeration date
08/03/2016
Last updated
04/12/2023
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