Provider Demographics
NPI:1659257921
Name:WHORLEY, JOEY DEAN JR
Entity type:Individual
Prefix:MR
First Name:JOEY
Middle Name:DEAN
Last Name:WHORLEY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 LEWELLING BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94580-1632
Mailing Address - Country:US
Mailing Address - Phone:510-856-6869
Mailing Address - Fax:
Practice Address - Street 1:315 MAITLAND DR
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94502-6728
Practice Address - Country:US
Practice Address - Phone:510-856-6869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAY4317632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health