Individual
MAX DUANE WHIPPLE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP, AAC
Contact information
Practice address
1155 N STATE ST STE 522, BELLINGHAM, WA 98225-5045
(360) 676-4485
Mailing address
1155 N STATE ST STE 522, BELLINGHAM, WA 98225-5045
(360) 676-4485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
WA
101YM0800X
Mental Health Counselor
CP61158216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2238136
—
WA
01
—
CO60880131
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
09/06/2018
Last updated
05/15/2024
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