Individual
CRYSTAL N WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1800 NEVILLE DR, LOUISVILLE, KY 40216-3820
(502) 636-2801
Mailing address
1800 NEVILLE DR, LOUISVILLE, KY 40216
(812) 736-5001
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0840
KY
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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