Provider Demographics
NPI:1710341169
Name:WHITNEY, MARK (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5273 S HOLLAND ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2139
Mailing Address - Country:US
Mailing Address - Phone:720-301-2829
Mailing Address - Fax:
Practice Address - Street 1:5273 S HOLLAND ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2139
Practice Address - Country:US
Practice Address - Phone:720-301-2829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0011948101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional