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General NPI Number Information
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NPI Number | 1457294639
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Entity Type | Organization
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Legal Business Name | KWHITLATCH LLC
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 3303 E BASELINE RD BLDG 2
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City | GILBERT
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State | AZ
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Zip | 85234-2738
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Country | US
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Telephone | 480-788-9816
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Fax |
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Provider Business Mailing Address
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Address Line | 3303 E BASELINE RD BLDG 2
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City | GILBERT
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State | AZ
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Zip | 85234-2738
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Country | US
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Telephone | 480-788-9816
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | KARISSA WHITLATCH
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Credential | LPC
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Telephone | 909-262-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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