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Contact Information

HOLLY S WHITAKER, MA, LPCC
1360 ENERGY PARK DR STE 330
SAINT PAUL, MN55108-5298
 Phone: 651-439-2059
 Fax: 888-675-8262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Pastoral

101YP1600X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for HOLLY S WHITAKER · (Female)

NPI # 1205970761
Status Active
Credentials MA, LPCC
Entity Individual
Enumeration date 02/17/2007
Last updated 11/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # CC01515
  • OH License # E0008095
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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