Provider Demographics
NPI:1245313048
Name:WHITMAN, DALE MITCHELL (LMHC)
Entity type:Individual
Prefix:
First Name:DALE
Middle Name:MITCHELL
Last Name:WHITMAN
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4202 MERIDIAN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8760
Mailing Address - Country:US
Mailing Address - Phone:360-676-9535
Mailing Address - Fax:360-733-4339
Practice Address - Street 1:4202 MERIDIAN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8760
Practice Address - Country:US
Practice Address - Phone:360-676-9535
Practice Address - Fax:360-733-4339
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005725101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health