WANDA WHITEHURST

NEW YORK, NY
NPI1245497403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2008-05-16
Last Update Date2015-11-20
Business Address
-- WANDA WHITEHURST
461 W 164TH ST
NEW YORK, NY 10032-8109
Phone number: 347-825-4882
Mailing Address
-- WANDA WHITEHURST
461 W 164TH ST
NEW YORK, NY 10032-8109
Phone number: 347-825-4882