Individual provider · Type 1 NPI
January Rae Whittaker, CADAC II
Addiction (Substance Use Disorder) Counselor · Jasper, IN
NPI number
1972242642
Active
Practice location
508 Jackson St # 102
Jasper, IN 47546-3128
Mailing address
1317 3rd St
Bedford, IN 47421-1805
Other practice locations
- 13993 E Carter Rd, Bloomfield, IN 47424-6125 · (812) 825-7601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C2-51294 (IN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Jasper
About NPI 1972242642
January Rae Whittaker, CADAC II's National Provider Identifier is 1972242642, issued on Jun 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jasper, IN. The record was last updated on Jun 1, 2022.