Provider Demographics
NPI:1205906005
Name:WHISENANT, JONAKARINA C F
Entity type:Individual
Prefix:MS
First Name:JONAKARINA
Middle Name:C F
Last Name:WHISENANT
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FAMILYCONTINUUM
Other - Middle Name:
Other - Last Name:PSYCHOTHERAPY, LLC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:57 E MAIN ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-1464
Mailing Address - Country:US
Mailing Address - Phone:774-242-9326
Mailing Address - Fax:
Practice Address - Street 1:57 E MAIN ST
Practice Address - Street 2:SUITE 220
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1464
Practice Address - Country:US
Practice Address - Phone:774-242-9326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC1930101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM1296OtherBCBSMA