MR. Gary R Whitehead, BA

NPI #1659689784 in Flora, Illinois

Provider Information

NPI Number: 1659689784
Entity Type: Individual
Name: MR. Gary R Whitehead, BA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: BA
Enumeration Date: Sep 23, 2010
Last Updated: Sep 23, 2010

Practice Location

Address: 901 W 3RD ST
City: Flora
State: Illinois
ZIP Code: 62839-1287
Phone: (618) 662-2871

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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