Provider Demographics
NPI:1639541840
Name:WHITMIRE, DONNA VIRGINIA (LMHC,CDP,NCGCII)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:VIRGINIA
Last Name:WHITMIRE
Suffix:
Gender:F
Credentials:LMHC,CDP,NCGCII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 REDMOND PL NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-3988
Mailing Address - Country:US
Mailing Address - Phone:425-227-0447
Mailing Address - Fax:
Practice Address - Street 1:533 REDMOND PL NE
Practice Address - Street 2:401 OLYMPIA AVE. N.E., SUITE 318
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-3988
Practice Address - Country:US
Practice Address - Phone:425-227-0447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 00002229101YA0400X
WALH 60528456101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)