Individual
ELLE-SHANTE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., L.M.H.C
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
Mailing address
543 7TH AVE W, SPENCER, IA 51301-3210
(712) 240-2554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
076241
IA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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