Individual
JOELLA WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 1/2 MAIN ST STE 5, LONGMONT, CO 80501-5527
(720) 340-2506
Mailing address
356 1/2 MAIN ST STE 5, LONGMONT, CO 80501-5527
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTC.0013910
CO
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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