Individual provider · Type 1 NPI

Mark Whitaker

Professional Counselor · Towson, MD

NPI number 1629632716 Active

Practice location

8501 Lasalle Road, Suite 115
Towson, MD 21286

Mailing address

505 Cedarcroft Rd
Baltimore, MD 21212-2702

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP8418 (MD)

Professional Counselor: Definition to come...

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About NPI 1629632716

Mark Whitaker's National Provider Identifier is 1629632716, issued on Apr 24, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Towson, MD. The record was last updated on Apr 24, 2019.