Individual
MISS SAMANTHA JO WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
19067 W FRONTAGE RD, RAYMOND, IL 62560-5053
(217) 843-8373
Mailing address
315 N WALNUT ST, LITCHFIELD, IL 62056-1672
(217) 556-3522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CADC-45038
IL
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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