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Individual

JOHN WHITAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
6844 16TH TER N, ST PETERSBURG, FL 33710-5335
(727) 314-2738
Mailing address
2451 N MCMULLEN BOOTH RD, CLEARWATER, FL 33759-1356
(727) 314-2738

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/18/2012
Last updated
08/07/2016
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