Provider Demographics
NPI:1881253185
Name:WHIPPO, VANCE LEIGH (LMHC)
Entity type:Individual
Prefix:
First Name:VANCE
Middle Name:LEIGH
Last Name:WHIPPO
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 1:17922 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-4625
Mailing Address - Country:US
Mailing Address - Phone:425-244-8092
Mailing Address - Fax:
Practice Address - Street 1:17922 OXFORD DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-4625
Practice Address - Country:US
Practice Address - Phone:425-244-8092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2020-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X
WAMC60893201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral