NPI Profile for HOLLY S WHITAKER in SAINT PAUL, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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HOLLY S WHITAKER
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