Individual
MS. BANTA H. WHITNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
402 MONTREAT RD., SOURCE FOR WELL-BEING, BLACK MOUNTAIN, NC 28711
(904) 612-3309
(904) 737-9369
Mailing address
151 NC HIGHWAY 9, SUITE B, BLACK MOUNTAIN, NC 28711
(904) 612-3309
(904) 737-9369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0002295
FL
1041C0700X
Clinical Social Worker
2295
FL
1041C0700X
Clinical Social Worker
Primary
C007716
NC
Other
Enumeration date
07/26/2006
Last updated
02/19/2014
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