Doctor Name: | MRS. LINDA JONES WHITLEY |
NPI Number: | 1174654099 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4098 |
Business Practice Address: | 110 Baltimore St Williamston, NC - 278922462 |
Business Phone Number: | 2527999661 |
Business Fax Number: | 2527926131 |
Mailing Address: | 2760 Big Mill Rd, WILLIAMSTON |
State: | NC |
Postal Code: | 278928029 |
Phone Number: | 2527999661 |
Fax Number: | 2527926131 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |