Provider Demographics
NPI:1073943080
Name:WHITEHOUSE, JAMIE LYN (LCMFT)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:LYN
Last Name:WHITEHOUSE
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-2839
Mailing Address - Country:US
Mailing Address - Phone:785-819-6905
Mailing Address - Fax:620-299-0131
Practice Address - Street 1:823 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-2839
Practice Address - Country:US
Practice Address - Phone:785-819-6905
Practice Address - Fax:620-299-0131
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-13
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2894106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist