Provider Demographics
NPI:1356984967
Name:WHITNEY, WILLIAM B (LMFT)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 E COLORADO BLVD STE 509
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2017
Mailing Address - Country:US
Mailing Address - Phone:626-710-8553
Mailing Address - Fax:
Practice Address - Street 1:595 E COLORADO BLVD STE 509
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2017
Practice Address - Country:US
Practice Address - Phone:626-710-8553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-26
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90691106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist