Provider Demographics
NPI:1245859941
Name:WHITTY, CAROLE ANNE (LMFT)
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANNE
Last Name:WHITTY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4697 E ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93702-2547
Mailing Address - Country:US
Mailing Address - Phone:559-353-1631
Mailing Address - Fax:
Practice Address - Street 1:2216 E CAMBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2123
Practice Address - Country:US
Practice Address - Phone:559-252-2140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91221106H00000X
CA130013106H00000X
CA135816106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist