Most Relevant Information
Provider Data
| NPI Number: | 1003647165 |
| Provider Name: | ELIZABETH CATHERINE WHITTOM |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/12/2024 |
| Last Updated: | 10/11/2024 |
Provider Practice Location
201 W BROADWAY STE 2F
COLUMBIA
MO
652033842
Practice Location Phone/Fax
| Phone: | 5732140436 |
| Fax: |
Provider Mailing Location
4000 SWEETWATER DR
COLUMBIA
MO
652019518
Provider Mailing Phone/Fax
| Phone: | 5732683896 |
| Fax: |