| Doctor Name: | MRS. GINGER WHATLEY |
| NPI Number: | 1205234283 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC, LCDC |
| License Number: | 12123 |
| Business Practice Address: | 417 S Indiana Ave Trinidad, CO - 810823126 |
| Business Phone Number: | 7198464416 |
| Business Fax Number: | 7198466408 |
| Mailing Address: | 417 S Indiana Ave, TRINIDAD |
| State: | CO |
| Postal Code: | 810823126 |
| Phone Number: | 7198464416 |
| Fax Number: | 7198466408 |
| NPI Enumeration Date: | 12/08/2014 |
| NPI Last Update Date: | 06/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 12123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |