Doctor Name: | MS. M KIT WHITNEY |
NPI Number: | 1245452507 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFTI |
License Number: | |
Business Practice Address: | 1515 S Oregon St Suite A Yreka, CA - 96097 |
Business Phone Number: | 5308423455 |
Business Fax Number: | 5308427917 |
Mailing Address: | Po Box 635, ETNA |
State: | CA |
Postal Code: | 96027 |
Phone Number: | 5305989721 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |