Individual
SHAWN WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
722 15TH ST NW, BEMIDJI, MN 56601-2528
(218) 751-3280
Mailing address
722 15TH ST NW, BEMIDJI, MN 56601-2528
(218) 751-3280
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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