Provider Demographics
NPI:1427105543
Name:WHITTINGTON, ELIZABETH MARSHALL (LICSW, CDP)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:MARSHALL
Last Name:WHITTINGTON
Suffix:
Gender:F
Credentials:LICSW, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 GEORGE WASHINGTON WAY
Mailing Address - Street 2:SUITE H
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4246
Mailing Address - Country:US
Mailing Address - Phone:509-946-4310
Mailing Address - Fax:
Practice Address - Street 1:660 GEORGE WASHINGTON WAY
Practice Address - Street 2:SUITE H
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4246
Practice Address - Country:US
Practice Address - Phone:509-946-4310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00003307101YA0400X
WALW00006186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health