Individual
MR. RONALD G. WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LMFT
Contact information
Practice address
825 GUM BRANCH RD, SUITE 128-D, JACKSONVILLE, NC 28540-6298
(910) 546-5809
(910) 347-2129
Mailing address
211 WINDHAM LN, JACKSONVILLE, NC 28540-4076
(910) 546-5809
(910) 347-2129
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6105152
—
NC
Enumeration date
01/25/2007
Last updated
07/09/2007
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