Provider Demographics
NPI:1124628151
Name:WHITMAN, KIERRA (LPC)
Entity type:Individual
Prefix:
First Name:KIERRA
Middle Name:
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KIERRA
Other - Middle Name:
Other - Last Name:COLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:101 MEDICAL CT STE 108
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-3854
Mailing Address - Country:US
Mailing Address - Phone:304-268-5330
Mailing Address - Fax:304-512-3388
Practice Address - Street 1:101 MEDICAL CT STE 108
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-3854
Practice Address - Country:US
Practice Address - Phone:304-268-5330
Practice Address - Fax:304-512-3388
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2549101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health