Stacey R Whitmore, BS

NPI #1093010845 in Redmond, Washington

Provider Information

NPI Number: 1093010845
Entity Type: Individual
Name: Stacey R Whitmore, BS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: BS
Enumeration Date: Jan 25, 2011
Last Updated: Jan 25, 2011

Practice Location

Address: 11629 AVONDALE RD NE
Address 2: AVONDALE HOUSE
City: Redmond
State: Washington
ZIP Code: 98052-2201
Phone: (425) 653-5080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Professional — Professional	101YP2500X	Primary

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