Whitney, Tina L

Whitney, Tina L is an individual health care provider with primary practice located at 32014 Little Boston Rd Ne , Kingston WA 98346-9734. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Whitney, Tina L can be contacted via phone (360) 297-9601.

Contact Information

Primary practice address
32014 Little Boston Rd Ne Kingston WA 98346-9734
Phone: (360) 297-9601
Fax: (360) 297-9614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RC00051687 Washington

Profile Details

NPI number 1487765368
LBN Legal business name Whitney, Tina L
Credentials RC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487765368 NPPES
Washington Other 190875163-19 KPS ID#
Washington Other PO1521 KPS ID#
Washington MEDICAID 1992825 KPS ID#

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