Doctor Name: | MARK STEVEN WHITINGER |
NPI Number: | 1437490786 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LPC |
License Number: | LPC-3408 |
Business Practice Address: | 312 Miller St Lewiston, ID - 835011944 |
Business Phone Number: | 2087501802 |
Business Fax Number: | 2087501803 |
Mailing Address: | 312 Miller St, LEWISTON |
State: | ID |
Postal Code: | 835011944 |
Phone Number: | 2087501802 |
Fax Number: | 2087501803 |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-3408 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ID |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |