| Kristin Whitaker, Licensed Clinical Social Worker, P.c. | |
|
3252 Holiday Ct Ste 102 La Jolla CA 92037-1807 | |
| (619) 800-1734 | |
| Not Available |
| Full Name | Kristin Whitaker, Licensed Clinical Social Worker, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3252 Holiday Ct Ste 102, La Jolla, California |
| Authorized Official Name and Position | Kristin Whitaker (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6198001734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Whitaker, Licensed Clinical Social Worker, P.c. 3252 Holiday Ct Ste 102 La Jolla CA 92037-1807 Ph: (619) 800-1734 | Kristin Whitaker, Licensed Clinical Social Worker, P.c. 3252 Holiday Ct Ste 102 La Jolla CA 92037-1807 Ph: (619) 800-1734 |
| NPI Number | 1447858626 |
|---|---|
| Provider Enumeration Date | 10/11/2020 |
| Last Update Date | 10/11/2020 |
| Certification Date | 10/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447858626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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