Most Relevant Information
Provider Data
NPI Number: | 1003199571 |
Provider Name: | THERESA WHITNEY |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/21/2011 |
Last Updated: | 09/21/2011 |
Provider Practice Location
359 FENN ST
ADMINISTRATIVE OFFICES
PITTSFIELD
MA
012015261
Practice Location Phone/Fax
Phone: | 4136291262 |
Fax: | 4134482198 |
Provider Mailing Location
359 FENN ST
ADMINISTRATIVE OFFICES
PITTSFIELD
MA
012015261
Provider Mailing Phone/Fax
Phone: | 4136291262 |
Fax: | 4134482198 |