Provider Demographics
NPI:1104581859
Name:WHITTON, BARBARA (LPC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:WHITTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 E PUTNAM AVE STE 26A
Mailing Address - Street 2:
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2724
Mailing Address - Country:US
Mailing Address - Phone:203-246-5630
Mailing Address - Fax:
Practice Address - Street 1:132 E PUTNAM AVE STE 26A
Practice Address - Street 2:
Practice Address - City:COS COB
Practice Address - State:CT
Practice Address - Zip Code:06807-2724
Practice Address - Country:US
Practice Address - Phone:203-246-5630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-07
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6505101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health