Most Relevant Information
Provider Data
| NPI Number: | 1003442716 |
| Provider Name: | KRISTIN WHITAKER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 86803 |
Most Important Dates
| Enumeration Date: | 03/14/2020 |
| Last Updated: | 03/14/2020 |
Provider Practice Location
3252 HOLIDAY CT STE 102
LA JOLLA
CA
920371807
Practice Location Phone/Fax
| Phone: | 6198001734 |
| Fax: |
Provider Mailing Location
3252 HOLIDAY CT STE 102
LA JOLLA
CA
920371807
Provider Mailing Phone/Fax
| Phone: | 6198001734 |
| Fax: |