Most Relevant Information
Provider Data
| NPI Number: | 1003442310 |
| Provider Name: | GARY WHITTAKER MS, LMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | LF1082 |
Most Important Dates
| Enumeration Date: | 03/18/2020 |
| Last Updated: | 03/18/2020 |
Provider Practice Location
1099 TAUTOG CIRCLE
SILVERDALE
WA
983151012
Practice Location Phone/Fax
| Phone: | 3603153072 |
| Fax: | 3603153058 |
Provider Mailing Location
1099 TAUTOG CIRCLE
SILVERDALE
WA
98315
Provider Mailing Phone/Fax
| Phone: | 3603153072 |
| Fax: | 3603153058 |