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NPI Code Detail

MEDICARE: ANNA WHITTINGTON

MEDICARE: ANNA WHITTINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor809WV

General Provider Information

NPI Number : 1972343721
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA WHITTINGTON
Provider Business Mailing Address
First Line : 353 GRADE RD
Second Line :
City : FALLING WATERS
State : WV
Zip : 25419-7091
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 WINCHESTER AVE
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-1650
Country : US
Telephone Number : 304-886-4118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2024
Last Update Date : 05/29/2024

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Directions to “ ANNA WHITTINGTON ” Practice Location

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