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Edward Wesley Whittaker, LADC
Addiction (Substance Use Disorder) Counselor in New Hope, Minnesota
NPI 1437405750

Edward Wesley Whittaker is an Addiction (Substance Use Disorder) Counselor based in New Hope, MN and is specialized in Addiction (Substance Use Disorder). Edward Wesley Whittaker practices in New Hope, MN and has the professional credentials of LADC. The NPI Number for Edward Wesley Whittaker is 1437405750 and holds a License No. 300517 (Minnesota).

The current practice location address for Edward Wesley Whittaker is 8015 36Th Ave N Apt 217, New Hope, MN and can be reached out via phone at 612-636-0801.

Location: 8015 36Th Ave N Apt 217, New Hope, MN, 55427-1960
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437405750
Provider Name
Edward Wesley Whittaker
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
8015 36Th Ave N Apt 217, New Hope, MN, 55427-1960
Phone Number
612-636-0801
Fax Number
Provider Enumeration Date
07/24/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8015 36Th Ave N Apt 217
City
New Hope
State
Minnesota
Zip
55427-1960
Phone Number
612-636-0801
Fax Number
person
Provider Business Mailing Address Details
Address
8015 36Th Ave N Apt 217
City
New Hope
State
Minnesota
Zip
55427-1960
Phone Number
612-636-0801
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
300517 (Minnesota)
Definition
Definition to come...
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