Provider Demographics
NPI:1659836401
Name:WHITNEY, ARLENE LAVONNE (LCSW, MPH/MSW)
Entity Type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:LAVONNE
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:LCSW, MPH/MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 EASTGATE STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362
Mailing Address - Country:US
Mailing Address - Phone:509-240-2422
Mailing Address - Fax:
Practice Address - Street 1:2330 EASTGATE STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362
Practice Address - Country:US
Practice Address - Phone:509-240-2422
Practice Address - Fax:509-529-4181
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW602060601041C0700X
OR79261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical