Individual
KRISTY J WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Mailing address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/06/2023
Last updated
07/11/2024
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