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Kristin Whitaker, Licensed Clinical Social Worker, P.c.

NPI Registration Record

Provider / OrganizationNPIDate Certified
KRISTIN WHITAKER, LICENSED CLINICAL SOCIAL WORKER, P.C.14478586262020-10-11
Entity TypeOrganization
Provider OrganizationKRISTIN WHITAKER, LICENSED CLINICAL SOCIAL WORKER, P.C.
Practice Office Address3252 HOLIDAY CT STE 102
LA JOLLA, CA US
Practice Office Telephone6198001734
Mailing Address3252 HOLIDAY CT STE 102
LA JOLLA, CA 920371807 US
Business Telephone6198001734
Authorized OfficialKRISTIN WHITAKER, LICENSED CLINIC
6198001734
HPT Codes
CodeLicense NoState
1041C0700X PRIMARY
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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