Individual
TINA L WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RC
Contact information
Practice address
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-9601
(360) 297-9614
Mailing address
32014 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9734
(360) 297-9601
(360) 297-9614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00051687
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190875163-19
KPS ID#
WA
05
—
1992825
—
WA
01
—
PO1521
REGENCE RIDER#
WA
Enumeration date
08/31/2006
Last updated
07/08/2007
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