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MARY NELLE WHITENACK LCPC NPI 1487870804


NPI Information

NPI: 1487870804
Provider Name: MARY NELLE WHITENACK, LCPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
10798 W OVERLAND RD
BOISE, ID
ZIP 83709
Phone: (208) 377-3368
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Mary Nelle Whitenack, LCPC is a counselor in Boise, ID. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mary Nelle Whitenack, LCPC NPI is 1487870804. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10798 W OVERLAND RD
BOISE, ID
ZIP 83709-329
Phone: (208) 377-3368
Fax: (208) 322-4691

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLCPC77IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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