MR. DENNIS DALE WHITTEN MACJ LADC ICAADC NPI 1184743502

NPI Information

  • NPI: 1184743502
  • Provider Name: MR. DENNIS DALE WHITTEN, MACJ, LADC, ICAADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 104 N.E. AVENUE A
    IDABEL, OK
    ZIP 74745
  • Phone: (580) 212-9175

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NPI Details

MR. Dennis Dale Whitten, MACJ, LADC, ICAADC is an addiction (substance use disorder) counselor in Idabel, OK. MR. Dennis Dale Whitten, MACJ, LADC, ICAADC NPI is 1184743502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

104 N.E. AVENUE A
IDABEL, OK
ZIP 74745
Phone: (580) 212-9175
Fax: (580) 286-6385

The enumeration date for this NPI number is 3/28/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)72OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
172OTHEROKLAHOMALICENSED ALCOHOL AND DRUG
20955461203OTHEROKLAHOMACAADC
3685OTHEROKLAHOMAICAADC

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: 3/30/2025

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