Individual provider · Type 1 NPI

Stephan Whitacre

Mental Health Counselor · Berlin, NJ

NPI number 1376937078 Active

Practice location

128 Cross Keys Rd
Berlin, NJ 08009-9201

Call (856) 210-1500 Map

Mailing address

770 Woodlane Rd
Westampton, NJ 08060-3804

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376937078

Stephan Whitacre's National Provider Identifier is 1376937078, issued on Mar 20, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berlin, NJ. The record was last updated on Mar 20, 2015.