Provider Demographics
NPI:1609178151
Name:WHITNEY, DONALD BRUCE (MA, LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:BRUCE
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SAINT LUKES PL
Mailing Address - Street 2:APT 312
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2119
Mailing Address - Country:US
Mailing Address - Phone:973-783-0038
Mailing Address - Fax:
Practice Address - Street 1:7 SAINT LUKES PL
Practice Address - Street 2:APT 312
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2119
Practice Address - Country:US
Practice Address - Phone:973-783-0038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00415000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional