| Doctor Name: | MR. LAWRENCE WHITAKER |
| NPI Number: | 1598112179 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A.;LPC |
| License Number: | 106271 |
| Business Practice Address: | 5200 Karluk Barrow, AK - 99723 |
| Business Phone Number: | 9078520366 |
| Business Fax Number: | |
| Mailing Address: | Po Box 72, BARROW |
| State: | AK |
| Postal Code: | 997230072 |
| Phone Number: | 9078559575 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2016 |
| NPI Last Update Date: | 05/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 106271 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |