Individual
JACQUELINE WHITELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
31 HOSIER ST, SELBYVILLE, DE 19975-9300
(302) 436-1000
Mailing address
14303 WIGHT ST, OCEAN CITY, MD 21842-2034
(410) 409-3025
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC0777
MD
101YM0800X
Mental Health Counselor
Primary
PC-0000756
DE
Other
Enumeration date
04/29/2015
Last updated
06/13/2016
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