Individual
ELIZABETH A WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., L.M.H.C.
Contact information
Practice address
8733 W. 400 N., 400 NORTH MEDICAL CENTER, MICHIGAN CITY, IN 46360
(614) 774-8307
Mailing address
114 CONCORD DR, MICHIGAN CITY, IN 46360-7004
(219) 861-1141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002132A
IN
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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