person
Richard E Whitaker, LMFT
Mental Health Counselor in West Burlington, Iowa
NPI 1073543658

Richard E Whitaker is a Mental Health Counselor based in West Burlington, IA and is specialized in Mental Health. Richard E Whitaker practices in West Burlington, IA and has the professional credentials of LMFT. The NPI Number for Richard E Whitaker is 1073543658 and holds a License No. (Iowa).

The current practice location address for Richard E Whitaker is 1225 S Gear Ave, West Burlington, IA and can be reached out via phone at 319-768-3700 and via fax at 319-768-3712. You can also correspond with Richard E Whitaker through the mailing address at PO BOX 540, WEST BURLINGTON, IA - 52655-0540 (mailing address contact number: 319-768-3700).

Location: 1225 S Gear Ave, West Burlington, IA, 52655-0540
person
Provider Profile Details
NPI Number
1073543658
Provider Name
Richard E Whitaker
Credential
LMFT
Provider Entity Type
Individual
Gender
Male
Address
1225 S Gear Ave, West Burlington, IA, 52655-0540
Phone Number
319-768-3700
Fax Number
319-768-3712
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00089 01 IA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1225 S Gear Ave
City
State
Zip
52655-1691
Phone Number
319-768-3700
Fax Number
319-768-3712
person
Provider Business Mailing Address Details
Address
Po Box 540
City
State
Zip
52655-0540
Phone Number
319-768-3700
Fax Number
319-768-3712
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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