Individual
KARLA WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
548 SE JACKSON ST, ROSEBURG, OR 97470-4983
(541) 229-8934
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C4229
OR
Other
Enumeration date
09/03/2009
Last updated
09/13/2023
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