Most Relevant Information
Provider Data
| NPI Number: | 1003298142 |
| Provider Name: | ROBERT WHITING |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 0120261 |
Most Important Dates
| Enumeration Date: | 06/25/2015 |
| Last Updated: | 06/25/2015 |
Provider Practice Location
912 1ST ST NW
ALBUQUERQUE
NM
871022355
Practice Location Phone/Fax
| Phone: | 5052249777 |
| Fax: | 5052249779 |
Provider Mailing Location
912 1ST ST NW
ALBUQUERQUE
NM
871022355
Provider Mailing Phone/Fax
| Phone: | 5052249777 |
| Fax: | 5052249779 |