Provider Demographics
NPI:1578995437
Name:WHITTEMORE, ABEL ARVIZU (LMFT)
Entity Type:Individual
Prefix:DR
First Name:ABEL
Middle Name:ARVIZU
Last Name:WHITTEMORE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5155 SIERRA VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-2531
Mailing Address - Country:US
Mailing Address - Phone:951-533-2349
Mailing Address - Fax:
Practice Address - Street 1:5155 SIERRA VISTA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-2531
Practice Address - Country:US
Practice Address - Phone:951-533-2349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA92347106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist