Shena Lorraine Whitmer, MS
Individual provider Active NPI Professional Counselor · Dewey, AZ
NPI 1962076000 · NPPES record last updated May 13, 2021
Key facts
- NPI
- 1962076000
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 12075 Az-69 Suite a
Dewey, AZ 86327 - Phone
- (928) 756-2368
- NPI assigned
- May 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
12075 Az-69 Suite a
Dewey, AZ 86327
Mailing address
12075 Az-69 Suite a
Dewey, AZ 86327
Phone (928) 756-2368
Other providers in Dewey, AZ
All providers in Dewey, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.