Individual provider · Type 1 NPI

Concordiajo Whitaker

Addiction (Substance Use Disorder) Counselor · Citra, FL

NPI number 1336739416 Active

Practice location

15681 N US Highway 301
Citra, FL 32113-3154

Call (352) 595-5000 Map

Mailing address

216 NE 1st Ave
Ocala, FL 34470-6654

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1336739416

Concordiajo Whitaker's National Provider Identifier is 1336739416, issued on Jan 22, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Citra, FL. The record was last updated on Jun 1, 2023.