Individual
KARISSA LYNN WHITLATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1845 S DOBSON RD STE 213, MESA, AZ 85202-5663
(480) 702-1444
Mailing address
1845 S DOBSON RD STE 213, MESA, AZ 85202-5663
(480) 702-1444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-16801
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-19784
AZ
Other
Enumeration date
11/03/2020
Last updated
04/12/2026
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