| Whitaker Inc | |
|
433 Callan Ave Ste 209 San Leandro CA 94577-4643 | |
| (510) 394-3911 | |
| Not Available |
| Full Name | Whitaker Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 433 Callan Ave, San Leandro, California |
| Authorized Official Name and Position | Kimberly Whitaker (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5103943911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitaker Inc 433 Callan Ave Ste 209 San Leandro CA 94577-4643 Ph: (510) 394-3911 | Whitaker Inc 433 Callan Ave Ste 209 San Leandro CA 94577-4643 Ph: (510) 394-3911 |
| NPI Number | 1083093199 |
|---|---|
| Provider Enumeration Date | 05/21/2015 |
| Last Update Date | 05/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083093199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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