GINA MARIE WHITTENBURG


Address: 161 Sequoia Drive, Pittsburg, CA 94565
Phone: 9257556670

GINA MARIE WHITTENBURG (NPI# 1164068011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164068011
Entity Type Individual
Full Name GINA MARIE WHITTENBURG
Practice Address 161 Sequoia Drive
Pittsburg
CA 94565
Mailing Address #2 Davi Ave.
Pittsburg
CA 94565
Practice Telephone 9257556670
Mailing Telephone 9254271483
Enumeration Date 2019-11-25
Last Update Date 2019-11-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CA Behavioral Health & Social Service Providers

Office Location

Street Address 161 SEQUOIA DRIVE
City PITTSBURG
State CA
Zip Code 94565

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NPI Name Taxonomy Address Enumeration
1386287902 Diamond Redus Behavior Technician 2328 Loveridge Rd Apt 209, Pittsburg, CA 94565 2019-10-27
1851952469 Renee Slocum Behavior Technician 7567 Amador, Dublin, CA 94565 2019-06-25
1881258606 Mabel Paz Zavala Student in an Organized Health Care Education/Training Program 3750 Roundhill Dr, Pittsburg, CA 94565 2019-04-26
1457810939 Richard L Anilao Nurse's Aide 142 San Tomas Dr, Pittsburg, CA 94565 2019-03-14
1568931079 Nashira Hudson Behavioral Analyst 3401 Delta Fair Blvd., Antioch, CA 94565 2018-11-14
1497230726 Rosa Maria Gonzalez Behavioral Analyst 198 Alberts Ave, Bay Point, CA 94565 2018-10-02
1831670090 Rael Bernstein Dds Apc Dentist 1600 N Park Blvd, Pittsburg, CA 94565 2018-08-27
1285120592 Vanessa Fregoso Behavioral Analyst 2275 Southwood Dr., Pittsburg, CA 94565 2018-07-10
1457847014 Monica Monarque Behavioral Analyst 2113 Cerrito Ct, Pittsburg, CA 94565 2018-07-06
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790340636 Todd Walter Schmidt Counselor 834 E 12th St, Pittsburg, CA 94565-2711 2019-05-06
1750810933 Noble Clinic, LLC Counselor 1205 Mill Rd, Pittsburg, KS 66762-7318 2017-06-09
1053765115 Laura Bridge Counselor 2127 Lakeview Cir, Pittsburg, CA 94565 2016-04-14
1346620788 Rajwant Lally Counselor 2211 Santa Maria Dr, Pittsburg, CA 94565-4353 2015-06-01
1669893053 Nancy Mattingly Counselor 180 E Leland Rd Ste A&b, Pittsburg, CA 94565-4949 2014-01-02
1891127247 Ujima Family Recovery Services Counselor 369 E Leland Rd, Pittsburg, CA 94565-4911 2013-08-07
1245573823 Melanie A Byers Counselor 1251 California Ave, Ste 600, Pittsburg, CA 94565-4181 2013-04-01
1962787267 Cheryl Marie Jordan Counselor 10 Buena Vis, Pittsburg, CA 94565-5705 2011-10-18
1538479399 New Connections Counselor 535 Harbor, Pittsburg, CA 94565 2010-10-14
1003147893 Brad Clinton Parks Counselor 824 E 4th St, Pittsburg, KS 66762-4234 2010-01-19
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Competitor

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City PITTSBURG
Zip Code 94565

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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